| Curt Alan Wickelhaus, CRNA | |
|
85 N Grand Ave, Fort Thomas, KY 41075-1793 | |
| (859) 572-3232 | |
| Not Available |
| Full Name | Curt Alan Wickelhaus |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 39 Years |
| Location | 85 N Grand Ave, Fort Thomas, Kentucky |
| 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 |
|---|---|---|---|
| 1700861754 | NPI | - | NPPES |
| 000000537886 | Other | ANTHEM | |
| 200878190 | Medicaid | IN | |
| 0854606 | Medicaid | OH | |
| 74105818 | Medicaid | KY | |
| 9130426 | Other | PHCS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 1046478 (Kentucky) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 038782 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Elizabeth Ft Thomas | Fort thomas, KY | Hospital |
| St Elizabeth Florence | Florence, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Group Practice Inc | 1254245137 | 390 |
| Entity Name | Anesthesia Group Practice Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417951948 PECOS PAC ID: 1254245137 Enrollment ID: O20151204001398 |
| Mailing Address | Practice Location Address |
|---|---|
| Curt Alan Wickelhaus, CRNA Po Box 632572, Cincinnati, OH 45263-2572 Ph: (859) 341-2666 | Curt Alan Wickelhaus, CRNA 85 N Grand Ave, Fort Thomas, KY 41075-1793 Ph: (859) 572-3232 |
Mr. Patrick Lee Hatfield, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 85 N Grand Ave, Fort Thomas, KY 41075 Phone: 859-572-3232 Fax: 859-572-3727 | |
Leonard Beachy, RN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 85 N Grand Ave, Fort Thomas, KY 41075 Phone: 513-672-3309 Fax: 513-672-3323 | |
Christopher Banner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 85 North Grand Ave, Fort Thomas, KY 41075 Phone: 859-572-3232 Fax: 859-572-3727 |