| Benjamin Kruse, | |
|
14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | |
| (763) 559-3779 | |
| (763) 450-3986 |
| Full Name | Benjamin Kruse |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 1 Years |
| Location | 14700 28th Ave N Ste 20, Plymouth, 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 |
|---|---|---|---|
| 1982474029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2989 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital | Coon rapids, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centracare Clinic | 2466363395 | 701 |
| Allina Health System | 4587573613 | 3584 |
| Metropolitan Anesthesia Network Llp | 5698689123 | 497 |
| Entity Name | Centracare Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
| Entity Name | Metropolitan Anesthesia Network Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558314427 PECOS PAC ID: 5698689123 Enrollment ID: O20031118000579 |
| 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 | Centracare Clinic Southwest Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174106264 PECOS PAC ID: 8426457946 Enrollment ID: O20210602002802 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Kruse, Po Box 47159, Plymouth, MN 55447-0159 Ph: (763) 559-3779 | Benjamin Kruse, 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 Ph: (763) 559-3779 |
Nickolas C Southwick, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 763-559-3779 Fax: 763-450-3986 | |
Lorna Bechtel, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 763-559-3379 Fax: 763-450-3986 | |
Jayne Eberhardt, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2855 Campus Dr, Plymouth, MN 55441 Phone: 763-577-7000 | |
Anna Spillers, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 763-559-3779 Fax: 763-450-3986 | |
Peter Lawrence Sedlacek, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2855 Campus Dr, Plymouth, MN 55441 Phone: 763-577-7000 Fax: 763-577-7130 | |
Kathryn Marie Huber, SRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 763-559-3779 Fax: 763-450-3986 | |
Dillon Joseph Dryja, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 763-852-0411 |