Andrea Gundelach, CRNA in Green Bay, WI - Medicare Nurse Anesthetist, Certified Registered

Andrea Gundelach, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Green Bay, Wisconsin. Her current practice location is 2845 Greenbrier Rd, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (507) 261-2742.

Andrea Gundelach is licensed to practice in Wisconsin (license number 1101593) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1336864669.

Contact Information

	Andrea Gundelach, CRNA
	2845 Greenbrier Rd, Green Bay, WI 54311-6519
	(507) 261-2742
	Not Available

Map and Direction

Provider's Profile

Full Name	Andrea Gundelach
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	2845 Greenbrier Rd, Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336864669
Provider Enumeration Date: 10/10/2022
Last Update Date: 02/01/2023

Medicare PECOS Information:

PECOS PAC ID: 3577935865
Enrollment ID: I20230215000409

Medical Identifiers

Medical identifiers for Andrea Gundelach such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336864669	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	1101593 (Wisconsin)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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. Andrea Gundelach allows following entities to bill medicare on her behalf.

Entity Name	Baycare Clinic Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588609648 PECOS PAC ID: 4385554328 Enrollment ID: O20031105000087

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

Entity Name	Baycare Aurora Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255387726 PECOS PAC ID: 0244130557 Enrollment ID: O20051012000579

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. Andrea Gundelach 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 Address	Practice Location Address
Andrea Gundelach, CRNA 1035 Kepler Dr, Green Bay, WI 54311-8320 Ph: (920) 490-9046	Andrea Gundelach, CRNA 2845 Greenbrier Rd, Green Bay, WI 54311-6519 Ph: (507) 261-2742

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Green Bay, WI

Mr. Peter B Michon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54308 Phone: 920-288-3388 Fax: 920-288-3370
Angela L Mathias, SRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-3388 Fax: 920-288-3370
Julie A Podlasik, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-445-7226 Fax: 920-445-7289
Jeremy J Jerdee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-3388 Fax: 920-288-3370
Christine M Zasuly, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-3388 Fax: 920-288-3370
Joseph A Wenszell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3605 Fax: 920-433-3589
Barbara A. Eland, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-433-0111 Fax: 920-431-3071

Andrea Gundelach, CRNA - Medicare Nurse Anesthetist, Certified Registered in Green Bay, WI