Matthew J Kuckler, CRNA | |
69 Exchange St W, St Paul, MN 55102 | |
(651) 735-0501 | |
(651) 735-1870 |
Full Name | Matthew J Kuckler |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 20 Years |
Location | 69 Exchange St W, St Paul, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174622161 | NPI | - | NPPES |
706143900 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R1427336 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southdale Anesthesiologists Llc | 6709842461 | 65 |
Entity Name | Metropolitan Anesthesia Network Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558314427 PECOS PAC ID: 5698689123 Enrollment ID: O20031118000579 |
Entity Name | Southdale Anesthesiologists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154381804 PECOS PAC ID: 6709842461 Enrollment ID: O20041203000743 |
Mailing Address | Practice Location Address |
---|---|
Matthew J Kuckler, CRNA 8681 Eagle Point Blvd, Lake Elmo, MN 55042-8628 Ph: (651) 251-8021 | Matthew J Kuckler, CRNA 69 Exchange St W, St Paul, MN 55102 Ph: (651) 735-0501 |
Lee Rivard, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 640 Jackson St, Mail Stop 11503p, St Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-3048 | |
Robert A Lamppa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N, St Paul, MN 55102 Phone: 651-735-0501 Fax: 651-735-1870 | |
Virginia M Glendenning, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N, St Paul, MN 55102 Phone: 651-735-0501 Fax: 651-735-1870 | |
Robert D West, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson Street, Mail Stop 11503p, St Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-3048 | |
Morli J Gamm, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N, St Paul, MN 55102 Phone: 651-735-0501 Fax: 651-735-1870 | |
Joyce Jacobson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson St, Mail Stop 11503p, St Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-3048 |