Mr Todd Dennis Petersen, CRNA | |
130 S Knowles Ave, New Richmond, WI 54017-1727 | |
(715) 246-3018 | |
(715) 246-3019 |
Full Name | Mr Todd Dennis Petersen |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 17 Years |
Location | 130 S Knowles Ave, New Richmond, 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 |
---|---|---|---|
1902082563 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 078545 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Western Wisconsin Health | Baldwin, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baldwin Area Medical Center Inc | 7911800586 | 65 |
St. Croix Regional Medical Center | 9335032184 | 147 |
Entity Name | Hudson Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396849303 PECOS PAC ID: 0648183061 Enrollment ID: O20040115000507 |
Entity Name | Ladd Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467560227 PECOS PAC ID: 9931092848 Enrollment ID: O20040204000998 |
Entity Name | St. Croix Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043240922 PECOS PAC ID: 9335032184 Enrollment ID: O20040205000217 |
Entity Name | Baldwin Area Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467496133 PECOS PAC ID: 7911800586 Enrollment ID: O20040310000505 |
Entity Name | Amery Regional Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093763518 PECOS PAC ID: 2769391960 Enrollment ID: O20040326000141 |
Entity Name | Westfields Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881640183 PECOS PAC ID: 2264490960 Enrollment ID: O20090122000350 |
Entity Name | Advanced Surgical And Restorative Care Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1194466235 PECOS PAC ID: 0143603357 Enrollment ID: O20220822001815 |
Mailing Address | Practice Location Address |
---|---|
Mr Todd Dennis Petersen, CRNA 2659 170th Ave, Emerald, WI 54013-8140 Ph: (715) 265-7425 | Mr Todd Dennis Petersen, CRNA 130 S Knowles Ave, New Richmond, WI 54017-1727 Ph: (715) 246-3018 |
Mr. Keith Charles Werlinger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 130 S Knowles Ave, New Richmond, WI 54017 Phone: 715-246-3018 | |
Michael D Vad, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 130 S Knowles Ave, New Richmond, WI 54017 Phone: 715-246-3018 Fax: 715-246-3019 | |
Ladonna Sue Schweer, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 130 South Knowles Avenue, Anesthetists Inc. Of Wisconsin, New Richmond, WI 54017 Phone: 715-246-3018 | |
Jennifer Joyce Tretsven, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 130 S Knowles Ave, New Richmond, WI 54017 Phone: 715-246-3018 Fax: 715-246-3019 | |
Mr. Bradley Joe Byker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 130 S Knowles Ave, New Richmond, WI 54017 Phone: 715-246-3018 | |
Jeffery Simpkins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 130 S Knowles Ave, New Richmond, WI 54017 Phone: 715-246-3018 Fax: 715-246-3019 | |
Mr. Kris Budke, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 130 S Knowles Ave, New Richmond, WI 54017 Phone: 715-246-3018 Fax: 715-246-3019 |