Kylene J Ponstein, | |
801 Broadway N, Fargo, ND 58102-3641 | |
(701) 234-8531 | |
Not Available |
Full Name | Kylene J Ponstein |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 9 Years |
Location | 801 Broadway N, Fargo, North Dakota |
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 |
---|---|---|---|
1063807790 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R035337 (North Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sanford Usd Medical Center | Sioux falls, SD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sanford Medical Center | 8325950215 | 717 |
Entity Name | Sanford Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821017880 PECOS PAC ID: 8325950215 Enrollment ID: O20040115000388 |
Entity Name | Sioux Falls Specialty Hospital, Llp |
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Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1316946809 PECOS PAC ID: 3173510898 Enrollment ID: O20161222000078 |
Mailing Address | Practice Location Address |
---|---|
Kylene J Ponstein, 801 Broadway N, Fargo, ND 58102-3641 Ph: (701) 234-8531 | Kylene J Ponstein, 801 Broadway N, Fargo, ND 58102-3641 Ph: (701) 234-8531 |
Ashley Heule, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-371-7635 | |
Julie Honeyman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-6355 | |
Todd D Underdahl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 737 Broadway, Fargo, ND 58122 Phone: 701-234-6258 Fax: 701-234-7334 | |
Katie C Busker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 737 Broadway, Fargo, ND 58122 Phone: 701-234-6258 | |
Jordan Idso, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2868 | |
Lindsey K Holter, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2575 | |
Joshua Keith Maliske, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2000 |