Shane D Garner, CRNA | |
845 Parkside St, Ripon, WI 54971-8505 | |
(920) 748-3101 | |
(920) 926-8370 |
Full Name | Shane D Garner |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 12 Years |
Location | 845 Parkside St, Ripon, 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 |
---|---|---|---|
1457612640 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 171073030 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ripon Medical Center | Ripon, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Agnesian Healthcare Inc | 1658289624 | 335 |
Entity Name | Agnesian Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263 |
Entity Name | Garner Anesthesia Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285030452 PECOS PAC ID: 0345564969 Enrollment ID: O20150130000121 |
Mailing Address | Practice Location Address |
---|---|
Shane D Garner, CRNA 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8340 | Shane D Garner, CRNA 845 Parkside St, Ripon, WI 54971-8505 Ph: (920) 748-3101 |
Philip J Mittelstaedt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 845 Parkside St, Ripon, WI 54971 Phone: 920-748-3101 | |
Madeline M Pereira, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 933 Newbury St, Ripon, WI 54971 Phone: 920-748-3101 Fax: 920-406-7675 |