Brien M Macon, CRNA | |
600 Highland Ave, Madison, WI 53792-1908 | |
(608) 263-8100 | |
Not Available |
Full Name | Brien M Macon |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 600 Highland Ave, Madison, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1396460481 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 1096163 (Texas) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 98754 (Wisconsin) | Primary |
Entity Name | Northstar Anesthesia Iii Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356968952 PECOS PAC ID: 0042630501 Enrollment ID: O20201022000080 |
Mailing Address | Practice Location Address |
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Brien M Macon, CRNA 6225 N State Highway 161 Ste 200, Irving, TX 75038-2241 Ph: (214) 687-0001 | Brien M Macon, CRNA 600 Highland Ave, Madison, WI 53792-1908 Ph: (608) 263-8100 |
Douglas J Konkol, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 700 S Park St, St Marys Hospital Dean Medical Center, Madison, WI 53715 Phone: 608-258-6975 Fax: 608-258-5222 | |
Jennifer J Schildt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-8100 | |
Alyssa Ct Tesar, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 700 S Park St, Madison, WI 53715 Phone: 608-251-6100 | |
Rebecca Ann Konkol, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-8100 Fax: 608-263-0575 | |
Kelly K Sinutko, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 S Park St, Madison, WI 53715 Phone: 608-251-6100 Fax: 608-258-5222 | |
Leila S Mclawhorn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-8100 | |
Christopher P Nelson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 S Park St, Madison, WI 53715 Phone: 608-251-6100 Fax: 608-258-5222 |