| Dana J Wilson, CRNA | |
|
9000 W Sura Ln, Greenfield, WI 53228-3477 | |
| (414) 246-6800 | |
| Not Available |
| Full Name | Dana J Wilson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 8 Years |
| Location | 9000 W Sura Ln, Greenfield, Wisconsin |
| 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 |
|---|---|---|---|
| 1245704477 | NPI | - | NPPES |
| 100085700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 9056-33 (Wisconsin) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 244853-30 (Wisconsin) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Columbia St Mary's Hospital Milwaukee Ca | Milwaukee, WI | Hospital |
| Ascension Se Wisconsin Hospital - St Joseph Campus | Milwaukee, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vituity-wisconsin Anesthesia Sc | 2163968819 | 144 |
| Aurora Medical Group, Inc. | 6709794258 | 3764 |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Entity Name | Anesthesia Partners Services SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861810947 PECOS PAC ID: 4082832514 Enrollment ID: O20140826000757 |
| Entity Name | Vituity-wisconsin Anesthesia SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821831975 PECOS PAC ID: 2163968819 Enrollment ID: O20240718002237 |
| Mailing Address | Practice Location Address |
|---|---|
| Dana J Wilson, CRNA Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Dana J Wilson, CRNA 9000 W Sura Ln, Greenfield, WI 53228-3477 Ph: (414) 246-6800 |
Karen Ann Hunnicutt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4448 W. Loomis Rd., Greenfield, WI 53220 Phone: 414-325-7246 Fax: 414-325-3770 |