Jessica Lynn Peterson, | |
859 Mankato Ave, Winona, MN 55987-6435 | |
(507) 457-4484 | |
Not Available |
Full Name | Jessica Lynn Peterson |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 859 Mankato Ave, Winona, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1912618000 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 2353425 (Minnesota) | Primary |
Entity Name | Winona Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295789352 PECOS PAC ID: 8527977420 Enrollment ID: O20040106000260 |
Mailing Address | Practice Location Address |
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Jessica Lynn Peterson, 811 W Mark St, Winona, MN 55987-2635 Ph: (561) 537-0767 | Jessica Lynn Peterson, 859 Mankato Ave, Winona, MN 55987-6435 Ph: (507) 457-4484 |
Mrs. Helen Mae Wachuta, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 855 Mankato Ave, Winona, MN 55987 Phone: 507-457-4484 Fax: 507-457-4107 | |
Matthew Peterson, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 855 Mankato Ave, Winona, MN 55987 Phone: 507-454-3650 | |
Dr. Thomas Levering Smart, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 855 Mankato Ave, Winona, MN 55987 Phone: 507-454-3650 | |
Sandra Marie Nortung, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 855 Mankato Ave, Winona Community Memorial Hospital, Winona, MN 55987 Phone: 507-457-4484 | |
Mr. Dennis Harold Kneller, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1610 49th Ave, Winona, MN 55987 Phone: 507-313-9403 | |
Angela Tripp, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 855 Mankato Ave, Winona, MN 55987 Phone: 507-454-3650 | |
Mrs. Amy Beth Tevis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 855 Mankato Ave, Winona, MN 55987 Phone: 800-944-3960 |