Ms Leslie A Wizauer, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fenton, Michigan. Her current practice location is
12198 Mantawauka Dr, Fenton, Michigan. You can reach out to her office (for appointments etc.) via phone at
(810) 996-4775.
Ms Leslie A Wizauer is licensed to practice in Michigan (license number 106426) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205847316.
Provider's Profile
Full Name | Ms Leslie A Wizauer |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 12198 Mantawauka Dr, Fenton, Michigan |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ms Leslie A Wizauer attended and graduated from in
NPI Data:
- NPI Number: 1205847316
- Provider Enumeration Date: 08/11/2006
- Last Update Date: 04/08/2014
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ms Leslie A Wizauer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205847316 | NPI | - | NPPES |
101850691 | Medicaid | MI | |
0B56166 | Other | MI | BLUE SHIELD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 106426 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Leslie A Wizauer is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Leslie A Wizauer, CRNA 12198 Mantawauka Dr, Fenton, MI 48430-8853 Ph: (810) 964-7756 | Ms Leslie A Wizauer, CRNA 12198 Mantawauka Dr, Fenton, MI 48430-8853 Ph: (810) 996-4775 |
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