| Ashleigh Douglas, | |
|
125 Hospital Dr, Watertown, WI 53098-3303 | |
| (920) 261-4210 | |
| Not Available |
| Full Name | Ashleigh Douglas |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 7 Years |
| Location | 125 Hospital Dr, Watertown, Wisconsin |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669940664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 225088 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Watertown Memorial Hospital | Watertown, WI | Hospital |
| Fort Memorial Hospital | Fort atkinson, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fort Healthcare Inc | 0840189718 | 124 |
| Watertown Anesthesia Llc | 2668844572 | 12 |
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| Andisthesia Llc | 8527431154 | 2 |
| Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
| 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 | Fort Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417993361 PECOS PAC ID: 0840189718 Enrollment ID: O20040319001411 |
| Entity Name | Watertown Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508501495 PECOS PAC ID: 2668844572 Enrollment ID: O20230202000315 |
| Entity Name | Andisthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881303964 PECOS PAC ID: 8527431154 Enrollment ID: O20230302000943 |
| Entity Name | Vituity-wisconsin Anesthesia Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821831975 PECOS PAC ID: 2163968819 Enrollment ID: O20240718002237 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashleigh Douglas, Po Box 249, Fort Atkinson, WI 53538-0249 Ph: (706) 832-7340 | Ashleigh Douglas, 125 Hospital Dr, Watertown, WI 53098-3303 Ph: (920) 261-4210 |