| Benjamin Carlson, | |
|
425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401-4123 | |
| (715) 845-5505 | |
| (715) 848-4884 |
| Full Name | Benjamin Carlson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 16 Years |
| Location | 425 Pine Ridge Blvd, Wausau, 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 |
|---|---|---|---|
| 1356572069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 158145030 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sauk Prairie Hospital | Prairie du sac, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sauk Prairie Healthcare Inc | 8224948054 | 93 |
| Entity Name | Sauk Prairie Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396884474 PECOS PAC ID: 8224948054 Enrollment ID: O20040129001089 |
| Entity Name | Drift Away Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093165094 PECOS PAC ID: 7214224492 Enrollment ID: O20161003001888 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Carlson, 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401-4123 Ph: () - | Benjamin Carlson, 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401-4123 Ph: (715) 845-5505 |
Elaine J. Olsen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2727 Plaza Dr, Wausau, WI 54401 Phone: 715-847-3000 | |
Laura B. Solverud, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 425 Pine Ridge Blvd, Ste 211, Wausau, WI 54401 Phone: 715-845-5505 | |
Elliott Adent, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401 Phone: 715-845-5505 | |
Steve Henkens, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401 Phone: 715-845-5505 Fax: 715-848-2884 | |
Aaron Zondlo, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 425 Pine Ridge Blvd Ste 211, Wausau, WI 54401 Phone: 715-845-5505 Fax: 715-848-2884 | |
Marissa J Hernandez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 411 Westwood Dr, Wausau, WI 54401 Phone: 715-847-2558 Fax: 715-847-2557 | |
Michael J Hein, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 411 Westwood Dr, Wausau, WI 54401 Phone: 715-847-2558 Fax: 715-847-2752 |