| Brandon Alt, | |
|
600 East Blvd, Elkhart, IN 46514-2483 | |
| (574) 523-3334 | |
| Not Available |
| Full Name | Brandon Alt |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 600 East Blvd, Elkhart, Indiana |
| 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 |
|---|---|---|---|
| 1912306853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 28184329A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The South Bend Clinic Llc | 3779577937 | 160 |
| Entity Name | Great Lakes Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720039977 PECOS PAC ID: 0648183442 Enrollment ID: O20031107000452 |
| Entity Name | The South Bend Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073680419 PECOS PAC ID: 3779577937 Enrollment ID: O20040412000439 |
| Entity Name | Ams Northern Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427619840 PECOS PAC ID: 8022444306 Enrollment ID: O20200205000244 |
| Entity Name | Sda Consultants Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336605500 PECOS PAC ID: 3870825912 Enrollment ID: O20210819003335 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Alt, 600 East Blvd, Elkhart, IN 46514-2483 Ph: (574) 523-3334 | Brandon Alt, 600 East Blvd, Elkhart, IN 46514-2483 Ph: (574) 523-3334 |
Mark Mcpherson, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-523-3193 | |
Ms. Barbara Ann Doherty, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1004 Parkway Ave, Suite B, Elkhart, IN 46516 Phone: 574-522-9922 Fax: 574-522-9926 | |
Lindsay Vasil, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1513 E Jackson Blvd, Elkhart, IN 46516 Phone: 574-523-3193 | |
Denise Christine Brown, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-523-3193 Fax: 574-523-3463 | |
Patty Jean Garlick, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3080 Windsor Ct, Ste B, Elkhart, IN 46514 Phone: 574-266-7817 | |
Sara L Mcnally, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 500 N Nappanee St, Ste 11-b, Elkhart, IN 46514 Phone: 574-522-9922 Fax: 574-522-9926 | |
Breann Marie Kutzer Mcmanus, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 N Nappanee St, Suite 11-b, Elkhart, IN 46514 Phone: 574-522-9922 Fax: 574-522-9926 |