| Dawn Fifarek, CRNA | |
|
855 S Main St, Oconto Falls, WI 54154-1241 | |
| (920) 846-3444 | |
| Not Available |
| Full Name | Dawn Fifarek |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 32 Years |
| Location | 855 S Main St, Oconto Falls, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821073818 | NPI | - | NPPES |
| 045414 | Other | CRNA RECERTIFICATION CARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 94387-030 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Marys Hospital Medical Ctr | Green bay, WI | Hospital |
| St Vincent Hospital | Green bay, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Green Bay Anesthesia Assoc. Sc | 4486613858 | 70 |
| Entity Name | Green Bay Anesthesia Assoc. SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023065836 PECOS PAC ID: 4486613858 Enrollment ID: O20041011000244 |
| Entity Name | Nurse Anesthesia Professional Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992066518 PECOS PAC ID: 6507012713 Enrollment ID: O20120803000210 |
| Mailing Address | Practice Location Address |
|---|---|
| Dawn Fifarek, CRNA 855 S Main St, Oconto Falls, WI 54154-1241 Ph: (920) 846-3444 | Dawn Fifarek, CRNA 855 S Main St, Oconto Falls, WI 54154-1241 Ph: (920) 846-3444 |
Philip H. Rohde, C.R.N.A., A.P.N.P. Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 855 S Main St, Oconto Falls, WI 54154 Phone: 920-846-3444 Fax: 920-846-0250 |
Tricia A Rocole, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 855 S Main St, Oconto Falls, WI 54154 Phone: 920-846-3444 Fax: 920-846-0250 |