Jenna L Devries, CRNA | |
620 W Brown St, Waupun, WI 53963-1702 | |
(920) 324-5581 | |
(920) 324-2085 |
Full Name | Jenna L Devries |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 13 Years |
Location | 620 W Brown St, Waupun, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932493095 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 157546-30 (Wisconsin) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 4402-33 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Waupun Memorial Hospital | Waupun, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Agnesian Healthcare Inc | 1658289624 | 335 |
Entity Name | Agnesian Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263 |
Mailing Address | Practice Location Address |
---|---|
Jenna L Devries, CRNA 420 E Division St, Suite 2000, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8340 | Jenna L Devries, CRNA 620 W Brown St, Waupun, WI 53963-1702 Ph: (920) 324-5581 |
Maribel Ramos, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 620 W Brown St, Waupun, WI 53963 Phone: 920-324-5581 Fax: 920-324-2085 | |
Gary L Dent, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 620 W Brown St, Waupun, WI 53963 Phone: 920-926-8332 Fax: 920-926-8370 | |
Mark J. Kernan, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 620 W Brown St, Waupun, WI 53963 Phone: 920-324-5581 Fax: 920-926-8370 | |
Shamiah M Dekker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 620 W Brown St, Waupun, WI 53963 Phone: 920-324-5581 Fax: 414-290-6755 |