Mr Benjamin T Skubal, | |
3200 Pleasant Valley Rd, West Bend, WI 53095-9274 | |
(262) 836-7300 | |
(262) 836-7301 |
Full Name | Mr Benjamin T Skubal |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 14 Years |
Location | 3200 Pleasant Valley Rd, West Bend, 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 |
---|---|---|---|
1104135508 | NPI | - | NPPES |
1104135508 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 085261 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Froedtert Memorial Lutheran Hospital, Inc. | 1456342682 | 55 |
Entity Name | Froedtert Memorial Lutheran Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255334173 PECOS PAC ID: 1456342682 Enrollment ID: O20040518001180 |
Mailing Address | Practice Location Address |
---|---|
Mr Benjamin T Skubal, 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 Ph: (414) 805-2764 | Mr Benjamin T Skubal, 3200 Pleasant Valley Rd, West Bend, WI 53095-9274 Ph: (262) 836-7300 |
Lynne M Krebs, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 661 S Silverbrook Dr, West Bend, WI 53095 Phone: 262-335-0533 | |
Toni M Reinhart, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3200 Pleasant Valley Rd, West Bend, WI 53095 Phone: 262-836-5533 | |
Thomas D Saugen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3200 Pleasant Valley Rd, West Bend, WI 53095 Phone: 262-334-5533 | |
Bradley R Brooke, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3200 Pleasant Valley Rd, West Bend, WI 53095 Phone: 262-334-5533 | |
Jennifer Depagter, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3200 Pleasant Valley Rd, West Bend, WI 53095 Phone: 262-836-7300 Fax: 262-836-7301 | |
Allen H Schut, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3200 Pleasant Valley Rd, West Bend, WI 53095 Phone: 262-334-5533 |