Bradley J Boettcher, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Green Bay, WI

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Bradley J Boettcher, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Green Bay, Wisconsin. He graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Aspirus Stevens Point Hospital And Clinics, Inc., Mchs Hospitals Inc and his current practice location is 744 S Webster Ave, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 445-7222.

Bradley J Boettcher is licensed to practice in Wisconsin (license number 3411) 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 1295906675.

Contact Information

Bradley J Boettcher, CRNA
744 S Webster Ave,
Green Bay, WI 54301-3505
(920) 445-7222
(920) 445-7289

Map and Direction




Provider's Profile

Full NameBradley J Boettcher
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience16 Years
Location744 S Webster Ave, Green Bay, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Bradley J Boettcher graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1295906675
  • Provider Enumeration Date: 03/13/2008
  • Last Update Date: 11/01/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9830269588
  • Enrollment ID: I20080606000187

Medical Identifiers

Medical identifiers for Bradley J Boettcher such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295906675NPI-NPPES
141347OtherWIRN SECONDARY WI STATE LICENSE
3411OtherWIWI STATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 3411 (Wisconsin)Primary
163W00000XRegistered Nurse 141347 (Wisconsin)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension St Clares HospitalWeston, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aspirus Stevens Point Hospital And Clinics, Inc.1850358938115
Mchs Hospitals Inc56980711731049

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. Bradley J Boettcher allows following entities to bill medicare on his behalf.
Entity NameAscension Medical Group-northern Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265507537
PECOS PAC ID: 8426960022
Enrollment ID: O20031103000345
Entity NameMarshfield Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952347981
PECOS PAC ID: 2264345206
Enrollment ID: O20031106000590
Entity NameThedacare Medical Center - Shawano, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548260839
PECOS PAC ID: 5890605836
Enrollment ID: O20031117000117
Entity NameAspirus Rhinelander & Tomahawk Hospitals & Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144991340
PECOS PAC ID: 9335059856
Enrollment ID: O20031126000706
Entity NameAspirus Medford Hospital & Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285703173
PECOS PAC ID: 5799688602
Enrollment ID: O20040129000007
Entity NameAspirus Merrill Hospital & Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124084678
PECOS PAC ID: 0143117556
Enrollment ID: O20040301001179
Entity NameThedacare Medical Center - New London, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538127220
PECOS PAC ID: 5698664480
Enrollment ID: O20040311000254
Entity NameThedacare Medical Center - Waupaca, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780782680
PECOS PAC ID: 3072504216
Enrollment ID: O20040524000645
Entity NameHoward Young Medical Center Inc Of Woodruff Wisconsin
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306898838
PECOS PAC ID: 4183519606
Enrollment ID: O20040922000345
Entity NameAspirus Stevens Point Hospital & Clinics, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538112230
PECOS PAC ID: 1850358938
Enrollment ID: O20041210000558
Entity NameStevens Point Anesthesia Association, S.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659305399
PECOS PAC ID: 5193798452
Enrollment ID: O20050614000206
Entity NameAssociation Of Hospital Anesthesiologists Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720076474
PECOS PAC ID: 3476539875
Enrollment ID: O20050719001050
Entity NameMchs Hospitals Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093221434
PECOS PAC ID: 5698071173
Enrollment ID: O20180208000096

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. Bradley J Boettcher 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 AddressPractice Location Address
Bradley J Boettcher, CRNA
744 S Webster Ave,
Green Bay, WI 54301-3505

Ph: (920) 445-7222		Bradley J Boettcher, CRNA
744 S Webster Ave,
Green Bay, WI 54301-3505

Ph: (920) 445-7222

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Green Bay, WI

Mr. Peter B Michon, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54308
Phone: 920-288-3388    Fax: 920-288-3370
Angela L Mathias, SRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311
Phone: 920-288-3388    Fax: 920-288-3370
Julie A Podlasik, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 744 S Webster Ave, Green Bay, WI 54301
Phone: 920-445-7226    Fax: 920-445-7289
Jeremy J Jerdee, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311
Phone: 920-288-3388    Fax: 920-288-3370
Christine M Zasuly, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311
Phone: 920-288-3388    Fax: 920-288-3370
Joseph A Wenszell, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 744 S Webster Ave, Green Bay, WI 54301
Phone: 920-433-3605    Fax: 920-433-3589
Barbara A. Eland, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 835 S Van Buren St, Green Bay, WI 54301
Phone: 920-433-0111    Fax: 920-431-3071

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.