Mr Jeffrey Duane Martin, CRNA | |
500 S Maple St, Waconia, MN 55387-1752 | |
(952) 442-2191 | |
Not Available |
Full Name | Mr Jeffrey Duane Martin |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 32 Years |
Location | 500 S Maple St, Waconia, 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 |
---|---|---|---|
1023185378 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R113772-3 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ridgeview Medical Center | Waconia, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Metropolitan Anesthesia Network Llp | 5698689123 | 632 |
Entity Name | Ridgeview Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528364429 PECOS PAC ID: 9234041997 Enrollment ID: O20031111000183 |
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 |
Mailing Address | Practice Location Address |
---|---|
Mr Jeffrey Duane Martin, CRNA 4510 Enchanted Dr, Mound, MN 55364-9300 Ph: (952) 474-5937 | Mr Jeffrey Duane Martin, CRNA 500 S Maple St, Waconia, MN 55387-1752 Ph: (952) 442-2191 |
Cynthia Mohnen Brick, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 S Maple St, Waconia, MN 55387 Phone: 952-442-2191 | |
Mr. Cortland J Arlien, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 500 S Maple St, Waconia, MN 55387 Phone: 952-442-2191 | |
Debra Mae Drew, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 S Maple St, Waconia, MN 55387 Phone: 952-442-2191 | |
Mr. David Scott Jackson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 500 S Maple St, Waconia, MN 55387 Phone: 952-442-2191 | |
Catherine Leah Wood, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 S Maple St, Waconia, MN 55387 Phone: 952-442-2191 | |
Karissa Lyn Conforte, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 S Maple St, Waconia, MN 55387 Phone: 952-442-2191 |