Mrs Wendy Amanda Gravelle, CRNA | |
415 Jefferson St North, Wadena, MN 56482 | |
(218) 631-3510 | |
(218) 631-7496 |
Full Name | Mrs Wendy Amanda Gravelle |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 23 Years |
Location | 415 Jefferson St North, Wadena, Minnesota |
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 |
---|---|---|---|
1306948245 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R1540705 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tri County Hospital | Wadena, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Astera Health | 2961395272 | 88 |
Entity Name | Astera Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134305162 PECOS PAC ID: 2961395272 Enrollment ID: O20040202001082 |
Entity Name | Perham Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932113768 PECOS PAC ID: 2264327766 Enrollment ID: O20040216000182 |
Entity Name | Perham Hospital District |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1790799518 PECOS PAC ID: 2264327766 Enrollment ID: O20061104000612 |
Mailing Address | Practice Location Address |
---|---|
Mrs Wendy Amanda Gravelle, CRNA 13436 County Road 101, Wadena, MN 56482 Ph: (218) 632-5989 | Mrs Wendy Amanda Gravelle, CRNA 415 Jefferson St North, Wadena, MN 56482 Ph: (218) 631-3510 |
Rachael Lynn Spear, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 Jefferson St N, Wadena, MN 58482 Phone: 218-631-3510 | |
Lee Allen Ellingson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 Jefferson St N, Wadena, MN 56482 Phone: 218-631-7589 |