Benjamin Wisenbaker, CRNA | |
5734 Coventry Ln, Fort Wayne, IN 46804-7141 | |
(260) 436-7875 | |
Not Available |
Full Name | Benjamin Wisenbaker |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 10 Years |
Location | 5734 Coventry Ln, Fort Wayne, Indiana |
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 |
---|---|---|---|
1023424462 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 28217287A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bluffton Regional Medical Center | Bluffton, IN | Hospital |
Marion General Hospital | Marion, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Associated Anesthesiologists Of Fort Wayne, Pc | 2264412444 | 102 |
Iceland Anesthesia Management Llc | 7618372996 | 53 |
Jebs Anesthesia Consultants, Llc | 4486046646 | 30 |
Entity Name | Associated Anesthesiologists Of Fort Wayne, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538159140 PECOS PAC ID: 2264412444 Enrollment ID: O20040720001562 |
Entity Name | Surgery One Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144724402 PECOS PAC ID: 8820351463 Enrollment ID: O20180413001005 |
Entity Name | Terre Haute Anesthesiology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770129066 PECOS PAC ID: 6901232594 Enrollment ID: O20200129002492 |
Entity Name | Iceland Anesthesia Management Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912578667 PECOS PAC ID: 7618372996 Enrollment ID: O20210825000860 |
Entity Name | Jebs Anesthesia Consultants, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790447761 PECOS PAC ID: 4486046646 Enrollment ID: O20220120000233 |
Mailing Address | Practice Location Address |
---|---|
Benjamin Wisenbaker, CRNA 105 Mccoy St, Monroe, LA 71203-4143 Ph: () - | Benjamin Wisenbaker, CRNA 5734 Coventry Ln, Fort Wayne, IN 46804-7141 Ph: (260) 436-7875 |
Anthony Dzigbordi, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5050 N Clinton St, Fort Wayne, IN 46825 Phone: 260-484-8551 | |
Lisa A Tompa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5050 N Clinton St, Fort Wayne, IN 46825 Phone: 260-484-8551 Fax: 260-482-5060 | |
Nicole Borem Schickel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5734 Coventry Ln, Fort Wayne, IN 46804 Phone: 260-436-7875 | |
Blair John Walker, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-416-3000 | |
Lisa Osborne, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5734 Coventry Ln, Fort Wayne, IN 46804 Phone: 260-436-7875 | |
Thomas George Merkler, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 5734 Coventry Ln, Fort Wayne, IN 46804 Phone: 260-436-7875 Fax: 260-432-9812 |