Richard G Gospodarek, CRNA | |
1818 N Meade St, Appleton, WI 54911-3454 | |
(920) 731-4101 | |
Not Available |
Full Name | Richard G Gospodarek |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 46 Years |
Location | 1818 N Meade St, Appleton, 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 |
---|---|---|---|
1942342035 | NPI | - | NPPES |
43272500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 132.33 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Thedacare Regional Medical Center - Appleton Inc | Appleton, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Association Of Hospital Anesthesiologists Sc | 3476539875 | 72 |
Entity Name | Association Of Hospital Anesthesiologists Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720076474 PECOS PAC ID: 3476539875 Enrollment ID: O20050719001050 |
Mailing Address | Practice Location Address |
---|---|
Richard G Gospodarek, CRNA 2109 E Capitol Dr, Ste B, Appleton, WI 54911-8726 Ph: (866) 313-0337 | Richard G Gospodarek, CRNA 1818 N Meade St, Appleton, WI 54911-3454 Ph: (920) 731-4101 |
Samuel A. Southard, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1506 S Oneida St, Appleton, WI 54915 Phone: 920-738-2000 Fax: 920-224-1706 | |
Michael Poeschel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2109 E Capitol Dr Ste B, Appleton, WI 54911 Phone: 844-693-1483 | |
Angela M. Morey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-731-4101 | |
Kevin M Hoeksema, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1506 S Oneida St, Appleton, WI 54915 Phone: 920-738-2000 | |
Ellen M Hambel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1506 S Oneida St, Appleton, WI 54915 Phone: 920-738-2611 | |
Shad Winget, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-731-4101 | |
Richard Huntley, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1506 S Oneida St, Appleton, WI 54915 Phone: 920-915-4624 |