Ty D Thornock, CRNA | |
100 County Road B, Shawano, WI 54166-7072 | |
(715) 524-2161 | |
Not Available |
Full Name | Ty D Thornock |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 26 Years |
Location | 100 County Road B, Shawano, 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 |
---|---|---|---|
1720098197 | NPI | - | NPPES |
43382500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 2685-033 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Thedacare Medical Center - Shawano | Shawano, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Association Of Hospital Anesthesiologists Sc | 3476539875 | 72 |
Entity Name | Thedacare, Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
Entity Name | Thedacare Medical Center - Shawano, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548260839 PECOS PAC ID: 5890605836 Enrollment ID: O20031117000117 |
Entity Name | Thedacare Medical Center - New London, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538127220 PECOS PAC ID: 5698664480 Enrollment ID: O20040311000254 |
Entity Name | Association Of Hospital Anesthesiologists Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720076474 PECOS PAC ID: 3476539875 Enrollment ID: O20050719001050 |
Entity Name | Gastrointestinal Associates S.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760546949 PECOS PAC ID: 4385677814 Enrollment ID: O20050915000417 |
Mailing Address | Practice Location Address |
---|---|
Ty D Thornock, CRNA 122 E College Ave, Appleton, WI 54911-5794 Ph: (920) 996-3264 | Ty D Thornock, CRNA 100 County Road B, Shawano, WI 54166-7072 Ph: (715) 524-2161 |
Cortny A Rector, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-526-2111 | |
John E Schreiner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 | |
Thomas L Olmsted, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 | |
John D Scharine, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 |