Mr David Brad Bogard, CRNA | |
855 N Westhaven Dr, Oshkosh, WI 54904 | |
(920) 456-6000 | |
(920) 456-5590 |
Full Name | Mr David Brad Bogard |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 25 Years |
Location | 855 N Westhaven Dr, Oshkosh, 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 |
---|---|---|---|
1023056058 | NPI | - | NPPES |
51135 | Other | WI | WISCONSIN LICENSE |
1018214003 | Other | WI | DIAMOND PROVIDER # |
43399200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 51135 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Thedacare Medical Center-waupaca | Waupaca, WI | Hospital |
Thedacare Medical Center - New London | New london, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Association Of Hospital Anesthesiologists Sc | 3476539875 | 72 |
Entity Name | Thedacare Medical Center - New London, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538127220 PECOS PAC ID: 5698664480 Enrollment ID: O20040311000254 |
Entity Name | Thedacare Medical Center - Waupaca, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780782680 PECOS PAC ID: 3072504216 Enrollment ID: O20040524000645 |
Entity Name | Association Of Hospital Anesthesiologists Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720076474 PECOS PAC ID: 3476539875 Enrollment ID: O20050719001050 |
Mailing Address | Practice Location Address |
---|---|
Mr David Brad Bogard, CRNA 855 N Westhaven Dr, Oshkosh, WI 54904-7668 Ph: (920) 456-6000 | Mr David Brad Bogard, CRNA 855 N Westhaven Dr, Oshkosh, WI 54904 Ph: (920) 456-6000 |
Ms. Michele M Osborne, CRNA-MNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 Fax: 920-303-5630 | |
Patrick A Tousignant, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 500 S Oakwood Rd, Oshkosh, WI 54904 Phone: 920-232-1941 | |
Mr. Matthew R Mueller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 | |
Kelly A Kastein, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 Fax: 920-303-5632 | |
Kristoffer L Hagen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 S Oakwood Rd, Oshkosh, WI 54904 Phone: 920-223-2000 | |
Laura Swenson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 S Oakwood Rd, Oshkosh, WI 54904 Phone: 920-223-1941 |