| Benjamin Clark Sickler, CRNA | |
|
301 Highway 65 S, Mora, MN 55051-1899 | |
| (320) 225-3335 | |
| (320) 225-3345 |
| Full Name | Benjamin Clark Sickler |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 19 Years |
| Location | 301 Highway 65 S, Mora, 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 |
|---|---|---|---|
| 1255497004 | NPI | - | NPPES |
| 076734 | Other | MN | RN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 076734 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Firstlight Health System | Mora, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Welia Health | 6709295496 | 43 |
| Entity Name | County Of Kanabec |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528031390 PECOS PAC ID: 0648187237 Enrollment ID: O20031125000660 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
| Entity Name | Welia Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528031390 PECOS PAC ID: 6709295496 Enrollment ID: O20220125001227 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Clark Sickler, CRNA 35463 Palisade Dr Ne, Cambridge, MN 55008-8054 Ph: (763) 689-1008 | Benjamin Clark Sickler, CRNA 301 Highway 65 S, Mora, MN 55051-1899 Ph: (320) 225-3335 |
Joseph John Buckley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 301 Highway 65 S, Mora, MN 55051 Phone: 679-225-3428 | |
Matthew James Hamiel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 Highway 65 S, Mora, MN 55051 Phone: 320-225-3428 | |
Ms. Dustin Scott Paulson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 301 Highway 65 S, Mora, MN 55051 Phone: 320-225-3335 Fax: 320-225-3345 | |
Mr. Robert M Woods, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 Highway 65 S, Mora, MN 55051 Phone: 320-225-3335 Fax: 320-225-3345 |