Mr Kellen Patrick Schmidt, | |
401 9th Ave Nw, Watertown, SD 57201-1548 | |
(605) 882-7000 | |
Not Available |
Full Name | Mr Kellen Patrick Schmidt |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 3 Years |
Location | 401 9th Ave Nw, Watertown, South Dakota |
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 |
---|---|---|---|
1336810696 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | CR001092 (South Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Prairie Lakes Healthcare System, Inc | Watertown, SD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prairie Lakes Health Care Systems Inc | 8628987823 | 122 |
Jt Anesthesia Prof Llc | 9335575919 | 5 |
Entity Name | Prairie Lakes Health Care Systems Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720166002 PECOS PAC ID: 8628987823 Enrollment ID: O20040202000187 |
Entity Name | Jt Anesthesia Prof Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851934335 PECOS PAC ID: 9335575919 Enrollment ID: O20200129002067 |
Mailing Address | Practice Location Address |
---|---|
Mr Kellen Patrick Schmidt, 301 N French Ave, Sioux Falls, SD 57103-1330 Ph: (605) 254-1010 | Mr Kellen Patrick Schmidt, 401 9th Ave Nw, Watertown, SD 57201-1548 Ph: (605) 882-7000 |
Henry P Voss, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 401 9th Ave Nw, Watertown, SD 57201 Phone: 605-882-7000 Fax: 605-882-7636 | |
Mark E Schulz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 9th Ave Nw, Watertown, SD 57201 Phone: 605-882-7000 Fax: 605-882-7636 | |
Keith A Wanner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 9th Ave Nw, Watertown, SD 57201 Phone: 605-882-7000 Fax: 605-882-7819 | |
Paul A Tobin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 401 9th Ave Nw, Watertown, SD 57201 Phone: 605-882-7000 Fax: 605-882-7636 | |
Bradley J Fishman, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 401 9th Ave Nw, Watertown, SD 57201 Phone: 605-882-7000 Fax: 605-882-7636 | |
Kari Ann Bunkers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 9th Ave Nw, Watertown, SD 57201 Phone: 605-882-7000 Fax: 605-882-7819 |