Tony O Sandstrom, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Shawano, WI

  1. Home
Tony O Sandstrom, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Shawano, Wisconsin. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Duke University Health System Inc, Firsthealth Of The Carolinas Inc and his current practice location is 309 N Bartlett St, Shawano, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 526-2111.

Tony O Sandstrom is licensed to practice in Wisconsin (license number 5845) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1780670034.

Contact Information

Tony O Sandstrom, CRNA
309 N Bartlett St,
Shawano, WI 54166-2127
(715) 526-2111
(715) 526-9166

Map and Direction




Physician's Profile

Full NameTony O Sandstrom
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience19 Years
Location309 N Bartlett St, Shawano, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tony O Sandstrom graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1780670034
  • Provider Enumeration Date: 09/22/2005
  • Last Update Date: 11/17/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 8123063070
  • Enrollment ID: I20180620001679

Medical Identifiers

Medical identifiers for Tony O Sandstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780670034NPI-NPPES
K400174628OtherWIMEDICARE PTAN
K400170079OtherWIMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology RN126117 (Tennessee)Secondary
367500000XNurse Anesthetist, Certified Registered 5845 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Firsthealth Moore Regional HospitalPinehurst, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Duke University Health System Inc2567372345837
Firsthealth Of The Carolinas Inc8820909377110

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tony O Sandstrom allows following entities to bill medicare on his behalf.
Entity NameDuke University Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558392977
PECOS PAC ID: 2567372345
Enrollment ID: O20031201000521
Entity NameAmerican Anesthesiology Of North Carolina Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053677195
PECOS PAC ID: 2961316450
Enrollment ID: O20031229000004
Entity NameGranville Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275638512
PECOS PAC ID: 1052223757
Enrollment ID: O20040301000909
Entity NameFirsthealth Of The Carolinas Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053482596
PECOS PAC ID: 8820909377
Enrollment ID: O20040308000442

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tony O Sandstrom is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tony O Sandstrom, CRNA
4401 Masthead St Ne, Suite 120,
Albuquerque, NM 87109-4497

Ph: (505) 243-7729		Tony O Sandstrom, CRNA
309 N Bartlett St,
Shawano, WI 54166-2127

Ph: (715) 526-2111

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.