Mr David Roy Demask, CRNA | |
501 Gopher Dr, Tomah, WI 54660-4513 | |
(608) 372-2181 | |
Not Available |
Full Name | Mr David Roy Demask |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 501 Gopher Dr, Tomah, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275678468 | NPI | - | NPPES |
264 | Other | WI | LICENSE NUMBER |
43290200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 264 (Wisconsin) | Primary |
Entity Name | Vernon Memorial Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144226507 PECOS PAC ID: 8325958416 Enrollment ID: O20040420001202 |
Entity Name | Tomah Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992970453 PECOS PAC ID: 6901897016 Enrollment ID: O20040519000123 |
Mailing Address | Practice Location Address |
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Mr David Roy Demask, CRNA 501 Gopher Dr, Tomah, WI 54660-4513 Ph: (083) 722-1816 | Mr David Roy Demask, CRNA 501 Gopher Dr, Tomah, WI 54660-4513 Ph: (608) 372-2181 |
Kimberly Ann Tozer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 501 Gopher Dr, Tomah, WI 54660 Phone: 608-372-2181 | |
Cole B Dolan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 501 Gopher Dr, Tomah, WI 54660 Phone: 608-372-2181 | |
Mr. Jeffrey Lee Jerde, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 501 Gopher Dr, Tomah, WI 54660 Phone: 608-372-2181 | |
Daniel R Langan Ii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 501 Gopher Dr, Tomah, WI 54660 Phone: 608-697-4277 | |
Andrew Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 501 Gopher Dr, Tomah, WI 54660 Phone: 608-372-2181 |