Tom R Pankratz, CRNA | |
707 14th St, Baraboo, WI 53913-1539 | |
(608) 356-1400 | |
Not Available |
Full Name | Tom R Pankratz |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 707 14th St, Baraboo, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699757492 | NPI | - | NPPES |
1009390 | Other | WI | PHYS PLUS PROV # |
551896 | Other | WI | DEANCARE PROV # |
388407992 | Other | WI | TRICARE PROV # |
430054481 | Other | WI | RR MEDICARE PROV # |
391023846 | Other | WI | COMMERCIAL INS PROV # |
43322800 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 042315 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Tom R Pankratz, CRNA 707 14th St, Baraboo, WI 53913-1539 Ph: (608) 356-1400 | Tom R Pankratz, CRNA 707 14th St, Baraboo, WI 53913-1539 Ph: (608) 356-1400 |
Annette L May, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 707 14th St, Baraboo, WI 53913 Phone: 608-356-1400 | |
Alan R Garven, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 707 14th St, Baraboo, WI 53913 Phone: 608-356-1400 |