Scott Lee Gradberg, CRNA | |
135 South Gibson St, Medford, WI 54451-1622 | |
(715) 748-8100 | |
(715) 748-8199 |
Full Name | Scott Lee Gradberg |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 28 Years |
Location | 135 South Gibson St, Medford, 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 |
---|---|---|---|
1528152287 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 047894 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aspirus Medford Hospital & Clinics, Inc | Medford, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aspirus Medford Hospital And Clinics Inc | 5799688602 | 66 |
Entity Name | Aspirus Medford Hospital & Clinics Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285703173 PECOS PAC ID: 5799688602 Enrollment ID: O20040129000007 |
Mailing Address | Practice Location Address |
---|---|
Scott Lee Gradberg, CRNA 135 S Gibson St, Medford, WI 54451-1622 Ph: (715) 748-8100 | Scott Lee Gradberg, CRNA 135 South Gibson St, Medford, WI 54451-1622 Ph: (715) 748-8100 |
Angela Marie Guden, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 220 S 7th St, Medford, WI 54451 Phone: 715-432-8888 | |
Carl Henry Zondlo, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 135 S Gibson St, Medford, WI 54451 Phone: 715-748-8100 | |
Mr. Stuart Gall, MS, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 135 S Gibson St, Medford, WI 54451 Phone: 715-748-8100 Fax: 715-748-8847 |