| Dustin P Heck, CRNA | |
|
1526 Northway Dr, Saint Cloud, MN 56303-1255 | |
| (320) 251-8385 | |
| Not Available |
| Full Name | Dustin P Heck |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1526 Northway Dr, Saint Cloud, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164126637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2018142 (Minnesota) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 2834 (Minnesota) | Primary |
| Entity Name | Centracare Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
| Entity Name | St Cloud Outpatient Surgery Ltd |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1124084843 PECOS PAC ID: 6800877622 Enrollment ID: O20040527000651 |
| Entity Name | Centracare Health System-nr Llc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1275872772 PECOS PAC ID: 3870739410 Enrollment ID: O20130426000215 |
| Entity Name | Centracare Health System-nr Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558600874 PECOS PAC ID: 3870739410 Enrollment ID: O20130515000683 |
| Entity Name | Certified Anesthesia Care Co |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699736348 PECOS PAC ID: 9436439114 Enrollment ID: O20161215001488 |
| Mailing Address | Practice Location Address |
|---|---|
| Dustin P Heck, CRNA 10155 45th Ave Ne, Sauk Rapids, MN 56379-2003 Ph: (320) 287-0811 | Dustin P Heck, CRNA 1526 Northway Dr, Saint Cloud, MN 56303-1255 Ph: (320) 251-8385 |
Craig Tangen, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3701 12th St N, Suite 202, Saint Cloud, MN 56303 Phone: 320-258-3090 | |
Kimberly Huschle, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3701 12th St N, Suite 202, Saint Cloud, MN 56303 Phone: 320-258-3090 | |
Kayla Jane Elwood, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3701 12th St N, Suite 202, Saint Cloud, MN 56303 Phone: 320-258-3090 | |
Stephany S Latunski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700 | |
Penny Renee Janorschke, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1406 6th St N, Saint Cloud, MN 56303 Phone: 320-251-2700 Fax: 320-656-7092 | |
Nicholas M Lejcher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700 | |
Bertil Lindquist, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3701 12th St N Ste 202, Saint Cloud, MN 56303 Phone: 320-258-3090 Fax: 320-258-3095 |