| David E Sisbach, CRNA | |
|
80 1st St, Prairie Du Sac, WI 53578-1550 | |
| (608) 643-3311 | |
| Not Available |
| Full Name | David E Sisbach |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 80 1st St, Prairie Du Sac, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235196882 | NPI | - | NPPES |
| 43279500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 86128 (Wisconsin) | Primary |
| Entity Name | Sauk Prairie Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396884474 PECOS PAC ID: 8224948054 Enrollment ID: O20040129001089 |
| Mailing Address | Practice Location Address |
|---|---|
| David E Sisbach, CRNA 80 1st St, Prairie Du Sac, WI 53578-1550 Ph: (608) 643-3311 | David E Sisbach, CRNA 80 1st St, Prairie Du Sac, WI 53578-1550 Ph: (608) 643-3311 |
Curtis N Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 80 1st St, Prairie Du Sac, WI 53578 Phone: 608-643-3311 | |
Jay P Ironside, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 80 1st St, Prairie Du Sac, WI 53578 Phone: 608-643-7299 | |
Tara L Mahoney, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 80 1st St, Prairie Du Sac, WI 53578 Phone: 608-643-3311 | |
Justin T. Schroeder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 80 1st St, Prairie Du Sac, WI 53578 Phone: 608-643-3311 Fax: 608-643-8600 | |
Sandra Carroll, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 260 26th St, Prairie Du Sac, WI 53578 Phone: 608-643-3311 | |
Mark A Starr, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 260 26th St, Prairie Du Sac, WI 53578 Phone: 608-643-3311 |