| Benjamin B Evenson, CRNA | |
|
1027 Washington Ave, Detroit Lakes, MN 56501-3409 | |
| (218) 847-5611 | |
| (218) 847-0881 |
| Full Name | Benjamin B Evenson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 25 Years |
| Location | 1027 Washington Ave, Detroit Lakes, Minnesota |
| 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 |
|---|---|---|---|
| 1659328375 | NPI | - | NPPES |
| DA9031025578 | Other | FM | PREFERRED ONE # |
| HP38328 | Other | MN | HEALTHPARTNERS # |
| 1659328375 | Medicaid | MN | |
| 23810 | Other | MN | LHS/BANNERHEALTH # |
| 973137700 | Medicaid | MN | |
| 24215 | Other | MN | NDBS # |
| 2001730 | Other | MN | MEDICA # |
| 1113912 | Other | FM | AMERICA'S PPO/ARAZ # |
| 363J3EV | Other | MN | MNBS # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R161934-8 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Essentia Health St Marys - Detroit Lakes | Detroit lakes, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Marys Regional Health Center | 2062326820 | 158 |
| Entity Name | St Marys Regional Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679561088 PECOS PAC ID: 2062326820 Enrollment ID: O20031117000090 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin B Evenson, CRNA 1027 Washington Ave, Detroit Lakes, MN 56501-3409 Ph: (218) 847-5611 | Benjamin B Evenson, CRNA 1027 Washington Ave, Detroit Lakes, MN 56501-3409 Ph: (218) 847-5611 |
Jeffrey D. Sliper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881 | |
Kristine K Domier, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881 | |
Carol M Lee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881 | |
Russell H Sauer, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 | |
Dewayne M Dunham, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 125 Frazee St E, Detroit Lakes, MN 56501 Phone: 218-844-2300 Fax: 218-844-2444 | |
Jeffrey R Johannsen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881 |