Kelly Mcmeans, | |
3400 E Racine St, Janesville, WI 53546-2344 | |
(608) 373-8000 | |
(608) 373-8006 |
Full Name | Kelly Mcmeans |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 3400 E Racine St, Janesville, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225445307 | NPI | - | NPPES |
1225445307 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 5533-33 (Wisconsin) | Primary |
Entity Name | Divine Savior Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124083894 PECOS PAC ID: 5799684007 Enrollment ID: O20040225000909 |
Mailing Address | Practice Location Address |
---|---|
Kelly Mcmeans, 3400 E Racine St, Janesville, WI 53546-2344 Ph: (608) 373-8000 | Kelly Mcmeans, 3400 E Racine St, Janesville, WI 53546-2344 Ph: (608) 373-8000 |
Lawrence K Beck, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3400 E Racine St, Janesville, WI 53546 Phone: 608-373-8000 Fax: 608-373-8148 | |
Maria C Gonzalez, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3400 E Racine St, Janesville, WI 53546 Phone: 608-373-8000 Fax: 608-373-8795 | |
Ernesto Alonzo Rodriguez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6278 Fax: 608-756-6289 | |
Paula E Goode, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3400 E Racine St, Janesville, WI 53546 Phone: 608-373-8000 Fax: 608-373-8006 | |
Ms. Lisa K. Stewart, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3400 E Racine St, Janesville, WI 53546 Phone: 608-374-8000 Fax: 608-373-8280 | |
Lee Mabry, APNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6868 Fax: 608-756-6289 |