Mark R Oleck, CRNA | |
5000 Memorial Dr, Two Rivers, WI 54241-3900 | |
(920) 794-5000 | |
Not Available |
Full Name | Mark R Oleck |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 5000 Memorial Dr, Two Rivers, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215947536 | NPI | - | NPPES |
44359400 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 133084 (Wisconsin) | Primary |
Entity Name | Baycare Clinic Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588609648 PECOS PAC ID: 4385554328 Enrollment ID: O20031105000087 |
Entity Name | Aurora Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Entity Name | Anesthesiology Associates Of Sheboygan, Ltd. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518914357 PECOS PAC ID: 1355330853 Enrollment ID: O20040510001178 |
Mailing Address | Practice Location Address |
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Mark R Oleck, CRNA Po Box 735044, Chicago, IL 60673-5044 Ph: (920) 794-5000 | Mark R Oleck, CRNA 5000 Memorial Dr, Two Rivers, WI 54241-3900 Ph: (920) 794-5000 |
Mr. John D Dusenbery, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5000 Memorial Dr, Two Rivers, WI 54241 Phone: 920-794-5000 | |
Scott W Harris, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5000 Memorial Dr, Two Rivers, WI 54241 Phone: 920-794-5000 | |
Richard Davis, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5000 Memorial Dr, Two Rivers, WI 54241 Phone: 920-794-5000 | |
Kristen J Horkheimer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5000 Memorial Dr, Two Rivers, WI 54241 Phone: 920-686-5734 | |
Mr. John Paul Hamilton, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5000 Memorial Dr, Two Rivers, WI 54241 Phone: 920-794-5000 | |
Josey R Laughlin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5000 Memorial Dr, Two Rivers, WI 54241 Phone: 920-794-5000 |