Desiree Wickenhauser, CRNA in Saint Louis, MO - Medicare Certified Registered Nurse Anesthetist (crna)

Desiree Wickenhauser, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Saint Louis, Missouri. She went to Southern Illinois University School Of Medicine and graduated in 2016 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Mercy Clinic Springfield Communities and her current practice location is 11133 Dunn Rd, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 203-3041.

Desiree Wickenhauser is licensed to practice in Illinois (license number 209016063) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912453945.

Contact Information

	Desiree Wickenhauser, CRNA
	11133 Dunn Rd, Saint Louis, MO 63136-6163
	(314) 203-3041
	Not Available

Map and Direction

Provider's Profile

Full Name	Desiree Wickenhauser
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	10 Years
Location	11133 Dunn Rd, Saint Louis, Missouri
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Desiree Wickenhauser attended and graduated from Southern Illinois University School Of Medicine in 2016

NPI Data:

NPI Number: 1912453945
Provider Enumeration Date: 08/30/2016
Last Update Date: 05/31/2024

Medicare PECOS Information:

PECOS PAC ID: 8628351798
Enrollment ID: I20170215002088

Medical Identifiers

Medical identifiers for Desiree Wickenhauser such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912453945	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	041419907 (Illinois)	Secondary
163W00000X	Registered Nurse	2011022892 (Missouri)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	2017002698 (Missouri)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	209016063 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Hospital Springfield	Springfield, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mercy Clinic Springfield Communities	7416865845	989

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Desiree Wickenhauser allows following entities to bill medicare on her behalf.

Entity Name	Mercy Clinic Springfield Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060

Entity Name	Anesthesia Partners Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043270465 PECOS PAC ID: 3870557986 Enrollment ID: O20041118000270

Entity Name	Ambulatory Anesthesia Services Of St. Charles, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467634097 PECOS PAC ID: 3173604782 Enrollment ID: O20080121000079

Entity Name	Ips Of St Louis Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316182173 PECOS PAC ID: 6709916372 Enrollment ID: O20100608000294

Entity Name	Midwest Anesthesia Providers Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295189082 PECOS PAC ID: 9830480581 Enrollment ID: O20160712001846

Entity Name	Aim Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245685601 PECOS PAC ID: 3971896705 Enrollment ID: O20160801001265

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Desiree Wickenhauser is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Desiree Wickenhauser, CRNA 11133 Dunn Rd, Saint Louis, MO 63136-6163 Ph: () -	Desiree Wickenhauser, CRNA 11133 Dunn Rd, Saint Louis, MO 63136-6163 Ph: (314) 203-3041

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Saint Louis, MO

Ms. Mary Katherine Kinworthy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12634 Olive Blvd, Dept Anesthesiology, Saint Louis, MO 63141 Phone: 800-862-9980 Fax: 314-362-1185
Ms. Kelsey Elise Fogus, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185
Ms. Claira J Sousa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185
Claire Aubuchon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 129 N Ballas Rd, Saint Louis, MO 63122 Phone: 314-996-5330 Fax: 314-810-1399
Mr. Aaron M Weinzettel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185
Ms. Tracy Lanes, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 915 N Grand Blvd, Saint Louis, MO 63106 Phone: 314-652-4100
Mr. Michael Mccamley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 12634 Olive Blvd, Saint Louis, MO 63141 Phone: 314-996-8685 Fax: 314-996-8479

Desiree Wickenhauser, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Saint Louis, MO