Mrs Rebecca Lynn Stark-johnson, CRNA | |
611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | |
(920) 568-5000 | |
(920) 568-5412 |
Full Name | Mrs Rebecca Lynn Stark-johnson |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 40 Years |
Location | 611 Sherman Ave E, Fort Atkinson, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912018342 | NPI | - | NPPES |
43289800 | Medicaid | WI | |
STARKREB | Other | WI | MERCYCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 60-033 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fort Memorial Hospital | Fort atkinson, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fort Healthcare Inc | 0840189718 | 122 |
Entity Name | Fort Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811916281 PECOS PAC ID: 0840189718 Enrollment ID: O20070718000769 |
Mailing Address | Practice Location Address |
---|---|
Mrs Rebecca Lynn Stark-johnson, CRNA 1013 W Blackhawk Dr, Fort Atkinson, WI 53538-1024 Ph: (920) 563-2726 | Mrs Rebecca Lynn Stark-johnson, CRNA 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 Ph: (920) 568-5000 |
Ms. Jamie L Foltz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 611 E Sherman Ave, Fort Atkinson, WI 53538 Phone: 920-568-5000 Fax: 920-568-4004 | |
Mr. Stefan J Gieryn, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 611 Sherman Ave E, Fort Atkinson, WI 53538 Phone: 920-568-5000 | |
Kristen N Burg, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 611 Sherman Ave E, Fort Atkinson, WI 53538 Phone: 920-568-5000 Fax: 920-568-4004 | |
Mr. Milan Jelic, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 611 Sherman Ave E, Fort Atkinson, WI 53538 Phone: 920-568-5000 | |
Mrs. Debra Lynn Bingham, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 611 Sherman Ave E, Fort Atkinson, WI 53538 Phone: 920-568-5000 | |
Nathan Spangler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 611 Sherman Ave E, Fort Atkinson, WI 53538 Phone: 920-568-5000 | |
Mr. Gregory James Foley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 611 Sherman Ave E, Fort Atkinson, WI 53538 Phone: 920-568-5000 |