| Charles F Smith, CRNA | |
|
1000 Mineral Point Ave, Janesville, WI 53548-2940 | |
| (608) 756-6000 | |
| Not Available |
| Full Name | Charles F Smith |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 28 Years |
| Location | 1000 Mineral Point Ave, Janesville, 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 |
|---|---|---|---|
| 1104043512 | NPI | - | NPPES |
| 94D44SM | Other | MN | BCBSMN |
| 02818100 | Medicaid | MN | |
| 43367200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 109611 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Stoughton Hospital | Stoughton, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stoughton Hospital Association | 7012825706 | 50 |
| Entity Name | Mercy Health System Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
| Entity Name | Stoughton Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679558647 PECOS PAC ID: 7012825706 Enrollment ID: O20040402001391 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles F Smith, CRNA 1000 Mineral Point Ave, Janesville, WI 53548-2940 Ph: (608) 756-6000 | Charles F Smith, CRNA 1000 Mineral Point Ave, Janesville, WI 53548-2940 Ph: (608) 756-6000 |
Dr. Kimberly M Lunaas, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6000 | |
Dr. Lisa Marie Millard, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6000 | |
Gilberto D Enriquez, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6018 | |
James J. Simmons, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6731 Fax: 608-756-6013 | |
Dr. David S Bayley, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3400 E Racine St, Janesville, WI 53546 Phone: 608-373-8000 | |
Dr. Mark Santini Hautala, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6731 |