Peter E Martin, CRNA | |
2200 Cedarcrest Dr, Ste B, Rice Lake, WI 54868 | |
(586) 864-6006 | |
(952) 442-3620 |
Full Name | Peter E Martin |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2200 Cedarcrest Dr, Rice Lake, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881381994 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 122792-30 (Wisconsin) | Primary |
Entity Name | Midwest Anesthesia Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740988542 PECOS PAC ID: 2567817042 Enrollment ID: O20240404002396 |
Mailing Address | Practice Location Address |
---|---|
Peter E Martin, CRNA 400 10th St E, Waconia, MN 55387-4552 Ph: (952) 442-9770 | Peter E Martin, CRNA 2200 Cedarcrest Dr, Ste B, Rice Lake, WI 54868 Ph: (586) 864-6006 |
Mr. Daniel William O'connell, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100 | |
Farrah A Becker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8338 | |
Micah D Zimmerman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2200 Cedar Crest Dr Ste B, Rice Lake, WI 54868 Phone: 608-346-6793 | |
Mr. Andrew A Daigle, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100 | |
Joseph F. Ponik, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100 | |
Mrs. Stefanie Rinehardt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100 |