| Brent J Wise, CRNA | |
|
200 1st St Sw, Rochester, MN 55905-0001 | |
| (507) 284-2511 | |
| Not Available |
| Full Name | Brent J Wise |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 17 Years |
| Location | 200 1st St Sw, Rochester, 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 |
|---|---|---|---|
| 1073753422 | NPI | - | NPPES |
| ENROLLED | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R 172570-8 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mason General Hospital & Family Of Clinics | Shelton, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Public Hospital District No 1 Of Mason County | 0345139275 | 40 |
| Entity Name | Public Hospital District No 1 Of Mason County |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1164650032 PECOS PAC ID: 0345139275 Enrollment ID: O20090921000676 |
| Entity Name | Capital Medical Center Specialty Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760785281 PECOS PAC ID: 2567651771 Enrollment ID: O20110104000592 |
| Mailing Address | Practice Location Address |
|---|---|
| Brent J Wise, CRNA 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 | Brent J Wise, CRNA 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 |
Emmanuel J Lujero, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Amy Jo Neveau, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Jennifer Charlebois, CRNA, DNAP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Joella Horner, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Seth Kenton Mogler, DNAP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Mrs. Stephanie Marie Cabler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Brian D Ward, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 |