Benjamin R Wisenbaker, CRNA in Shreveport, LA - Medicare Certified Registered Nurse Anesthetist (crna)

Benjamin R Wisenbaker, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Shreveport, Louisiana. He graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Associated Anesthesiologists Of Fort Wayne Pc, University Health Shreveport, Llc and his current practice location is 1541 Kings Hwy, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 626-0000.

Benjamin R Wisenbaker is licensed to practice in Louisiana (license number AP07907) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023424462.

Contact Information

	Benjamin R Wisenbaker, CRNA
	1541 Kings Hwy, Shreveport, LA 71103-4228
	(318) 626-0000
	(318) 629-4833

Map and Direction

Provider's Profile

Full Name	Benjamin R Wisenbaker
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	12 Years
Location	1541 Kings Hwy, Shreveport, Louisiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Benjamin R Wisenbaker graduated from nursing school in 2014

NPI Data:

NPI Number: 1023424462
Provider Enumeration Date: 07/07/2014
Last Update Date: 10/10/2024

Medicare PECOS Information:

PECOS PAC ID: 2769601731
Enrollment ID: I20140924001431

Medical Identifiers

Medical identifiers for Benjamin R Wisenbaker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023424462	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	28217287A (Indiana)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	AP07907 (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ochsner Lsu Health Shreveport	Shreveport, LA	Hospital
Lutheran Hospital Of Indiana	Fort wayne, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Associated Anesthesiologists Of Fort Wayne Pc	2264412444	89
University Health Shreveport, Llc	7416207196	55

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Benjamin R Wisenbaker allows following entities to bill medicare on his behalf.

Entity Name	Associated Anesthesiologists Of Fort Wayne Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538159140 PECOS PAC ID: 2264412444 Enrollment ID: O20040720001562

Entity Name	Surgery One Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144724402 PECOS PAC ID: 8820351463 Enrollment ID: O20180413001005

Entity Name	Iceland Anesthesia Management Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912578667 PECOS PAC ID: 7618372996 Enrollment ID: O20210825000860

Entity Name	Jebs Anesthesia Consultants, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790447761 PECOS PAC ID: 4486046646 Enrollment ID: O20220120000233

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Benjamin R Wisenbaker is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Benjamin R Wisenbaker, CRNA 1541 Kings Hwy, Shreveport, LA 71103-4228 Ph: () -	Benjamin R Wisenbaker, CRNA 1541 Kings Hwy, Shreveport, LA 71103-4228 Ph: (318) 626-0000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Shreveport, LA

Billy B Miller Iii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118 Phone: 318-212-5000
Ms. Lisa Nicole Kellogg, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-675-5000
Kurvis Antione Davis, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 367 Carrollton Ave, Shreveport, LA 71105 Phone: 318-573-0604
Brian House, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000
Michael Liles, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-675-5000
Kerri Annette Mullone, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000

Benjamin R Wisenbaker, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Shreveport, LA