Sandra Carroll, CRNA | |
260 26th St, Prairie Du Sac, WI 53578-2203 | |
(608) 643-3311 | |
Not Available |
Full Name | Sandra Carroll |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 260 26th St, Prairie Du Sac, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1952086944 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 14072-33 (Wisconsin) | Primary |
Entity Name | Sauk Prairie Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396884474 PECOS PAC ID: 8224948054 Enrollment ID: O20040129001089 |
Mailing Address | Practice Location Address |
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Sandra Carroll, CRNA 260 26th St, Prairie Du Sac, WI 53578-2203 Ph: () - | Sandra Carroll, CRNA 260 26th St, Prairie Du Sac, WI 53578-2203 Ph: (608) 643-3311 |
Curtis N Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 80 1st St, Prairie Du Sac, WI 53578 Phone: 608-643-3311 | |
David E Sisbach, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 80 1st St, Prairie Du Sac, WI 53578 Phone: 608-643-3311 | |
Jay P Ironside, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 80 1st St, Prairie Du Sac, WI 53578 Phone: 608-643-7299 | |
Tara L Mahoney, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 80 1st St, Prairie Du Sac, WI 53578 Phone: 608-643-3311 | |
Justin T. Schroeder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 80 1st St, Prairie Du Sac, WI 53578 Phone: 608-643-3311 Fax: 608-643-8600 | |
Mark A Starr, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 260 26th St, Prairie Du Sac, WI 53578 Phone: 608-643-3311 |