| Donald J Roesler, CRNA | |
|
1325 S Cliff Ave, Attn: P.f.s., Sioux Falls, SD 57105-1007 | |
| (605) 322-6428 | |
| (605) 322-6499 |
| Full Name | Donald J Roesler |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1325 S Cliff Ave, Sioux Falls, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457363194 | NPI | - | NPPES |
| 0002363 | Other | SD | SD BLUE CROSS PROV # |
| 460224743-48 | Medicaid | NE | |
| 143458600 | Medicaid | MN | |
| R025309 | Other | SD | DAKOTACARE PROV # |
| 2121590 | Medicaid | IA | |
| 5751096 | Medicaid | SD | |
| 013K6RO | Other | MN | MN BLUE CROSS PROV# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R025309-0320 (South Dakota) | Primary |
| Entity Name | Avera Mckennan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699009944 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117 |
| Entity Name | Avera Queen Of Peace |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205359031 PECOS PAC ID: 9335050806 Enrollment ID: O20031229000301 |
| Entity Name | Huron Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154312429 PECOS PAC ID: 2769393388 Enrollment ID: O20040123000946 |
| Entity Name | Avera Queen Of Peace |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1992466635 PECOS PAC ID: 9335050806 Enrollment ID: O20220301001771 |
| Mailing Address | Practice Location Address |
|---|---|
| Donald J Roesler, CRNA 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 Ph: (605) 322-2754 | Donald J Roesler, CRNA 1325 S Cliff Ave, Attn: P.f.s., Sioux Falls, SD 57105-1007 Ph: (605) 322-6428 |
Jedd D Bialas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 W 18th St, Sioux Falls, SD 57105 Phone: 605-333-1000 | |
Aaron Daniel Mortensen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 W 18th St, Sioux Falls, SD 57105 Phone: 605-333-1000 | |
Austin Wade Fox, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1325 S Cliff Ave, Sioux Falls, SD 57105 Phone: 605-322-8000 | |
Paul E Gilmore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1305 W 18th St, Sioux Falls, SD 57105 Phone: 605-333-1000 | |
John A Lyle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E 21st St, Sioux Falls, SD 57105 Phone: 605-322-2754 Fax: 605-322-2727 | |
Christopher Brusseau, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 W 18th Street, Anesthesia Department, Sioux Falls, SD 57117 Phone: 605-312-1225 Fax: 605-312-1226 | |
Gay J Heitmann, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1305 W 18th St, Sioux Falls, SD 57105 Phone: 605-333-1000 |