| Benjamin Grossnicklaus, | |
|
804 22nd Ave, Kearney, NE 68845-2206 | |
| (308) 455-3600 | |
| Not Available |
| Full Name | Benjamin Grossnicklaus |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 0 Years |
| Location | 804 22nd Ave, Kearney, Nebraska |
| 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 |
|---|---|---|---|
| 1467250050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 101927 (Nebraska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kearney Regional Medical Center | Kearney, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bryan Hospital Kearney | 5991195547 | 88 |
| Entity Name | Bryan Hospital Kearney |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033875380 PECOS PAC ID: 5991195547 Enrollment ID: O20211214002678 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Grossnicklaus, 816 22nd Ave Ste 100, Kearney, NE 68845-2226 Ph: (308) 865-2263 | Benjamin Grossnicklaus, 804 22nd Ave, Kearney, NE 68845-2206 Ph: (308) 455-3600 |
Troy A Kluthe, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 115 E 52nd St, Kearney, NE 68847 Phone: 308-236-5506 Fax: 308-236-7089 | |
Charles L Messbarger, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 115 E 52nd St, Kearney, NE 68847 Phone: 308-236-5506 Fax: 308-236-7089 | |
Donna M Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 115 E 52nd St, Kearney, NE 68847 Phone: 308-236-5506 Fax: 308-236-7089 | |
Daniel D Moos, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10 E 31st St, Kearney, NE 68847 Phone: 308-236-5506 Fax: 308-236-7089 | |
Kristina E Draper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 115 E 52nd St, Kearney, NE 68847 Phone: 308-236-5506 Fax: 308-236-7089 | |
Kwang Hee Alexander Johng, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 804 22nd Ave, Kearney, NE 68845 Phone: 308-455-3600 | |
Thomas J Goetz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 115 E 52nd St, Kearney, NE 68847 Phone: 308-236-5506 Fax: 308-236-7089 |