| 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 | Nurse Anesthetist, Certified Registered | 
| Location | 301 Highway 65 S, Mora, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| 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 | 
| 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  |