Max Kyle Brainard, | |
425 Pine Ridge Blvd Ste 211, Wausau, WI 54401-4123 | |
(715) 845-5505 | |
Not Available |
Full Name | Max Kyle Brainard |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 6 Years |
Location | 425 Pine Ridge Blvd Ste 211, Wausau, Wisconsin |
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 |
---|---|---|---|
1598246548 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 139116 (Wisconsin) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 139116 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aspirus Wausau Hospital | Wausau, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Wisconsin Anesthesiology | 5597667097 | 46 |
Entity Name | Central Wisconsin Anesthesiology |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518999648 PECOS PAC ID: 5597667097 Enrollment ID: O20040805000454 |
Mailing Address | Practice Location Address |
---|---|
Max Kyle Brainard, 1019 Saint Austin Ave, Wausau, WI 54403-6752 Ph: (608) 514-5261 | Max Kyle Brainard, 425 Pine Ridge Blvd Ste 211, Wausau, WI 54401-4123 Ph: (715) 845-5505 |
Elaine J. Olsen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2727 Plaza Dr, Wausau, WI 54401 Phone: 715-847-3000 | |
Laura B. Solverud, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 425 Pine Ridge Blvd, Ste 211, Wausau, WI 54401 Phone: 715-845-5505 | |
Elliott Adent, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401 Phone: 715-845-5505 | |
Steve Henkens, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401 Phone: 715-845-5505 Fax: 715-848-2884 | |
Aaron Zondlo, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 425 Pine Ridge Blvd Ste 211, Wausau, WI 54401 Phone: 715-845-5505 Fax: 715-848-2884 | |
Marissa J Hernandez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 411 Westwood Dr, Wausau, WI 54401 Phone: 715-847-2558 Fax: 715-847-2557 | |
Michael J Hein, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 411 Westwood Dr, Wausau, WI 54401 Phone: 715-847-2558 Fax: 715-847-2752 |