Tracy L Pechacek, CRNA | |
1575 Beam Ave, Maplewood, MN 55109-1126 | |
(651) 735-0501 | |
(651) 735-1870 |
Full Name | Tracy L Pechacek |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1575 Beam Ave, Maplewood, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508962473 | NPI | - | NPPES |
066955500 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R1213470 (Minnesota) | Primary |
Entity Name | Twin Cities Anesthesia Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982125456 PECOS PAC ID: 9133491194 Enrollment ID: O20170825001436 |
Mailing Address | Practice Location Address |
---|---|
Tracy L Pechacek, CRNA 8681 Eagle Point Blvd, Lake Elmo, MN 55042-8628 Ph: (651) 251-8021 | Tracy L Pechacek, CRNA 1575 Beam Ave, Maplewood, MN 55109-1126 Ph: (651) 735-0501 |
Mary L Hasecuster, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1655 Beam Ave, Maplewood, MN 55109 Phone: 651-735-0501 Fax: 651-735-1870 | |
Kathleen F Gams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-735-0501 Fax: 651-735-1870 | |
Randy L Vindedahl, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-735-0501 Fax: 651-251-8050 | |
Marilyn A Harder, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-735-0501 Fax: 651-735-1870 | |
Theodore M Spiess, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-735-0501 Fax: 651-735-1870 | |
Donna Kodet, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-735-0501 Fax: 651-735-1870 |