| Edward Zhovtis, CRNA | |
|
711 W Adams St, Black River Falls, WI 54615-5052 | |
| (715) 284-5361 | |
| (715) 284-3684 |
| Full Name | Edward Zhovtis |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 18 Years |
| Location | 711 W Adams St, Black River Falls, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952556664 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Black River Memorial Hospital | Black river falls, WI | Hospital |
| Mayo Clinic Health System Eau Claire Hospital | Eau claire, WI | Hospital |
| Osf Saint Anthony Medical Center | Rockford, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mayo Clinic Health System-northwest Wisconsin Region Inc | 4385553627 | 798 |
| North American Partners In Anesthesia Illinois Llc | 1052576519 | 421 |
| Black River Health Inc | 3173431178 | 59 |
| Entity Name | Black River Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811940331 PECOS PAC ID: 3173431178 Enrollment ID: O20040128000517 |
| Entity Name | Black River Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811940331 PECOS PAC ID: 3173431178 Enrollment ID: O20040303000688 |
| Entity Name | Tri-county Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417201864 PECOS PAC ID: 4587642418 Enrollment ID: O20040708000696 |
| Entity Name | North American Partners In Anesthesia Wisconsin Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720733454 PECOS PAC ID: 8729475447 Enrollment ID: O20220428000422 |
| Entity Name | Advanced Surgical And Restorative Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952004863 PECOS PAC ID: 0143603357 Enrollment ID: O20240829003756 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Zhovtis, CRNA 711 W Adams St, Black River Falls, WI 54615-5052 Ph: (715) 284-5361 | Edward Zhovtis, CRNA 711 W Adams St, Black River Falls, WI 54615-5052 Ph: (715) 284-5361 |
Ms. Mary Clare Nordahl, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 711 W Adams St, Black River Falls, WI 54615 Phone: 715-284-5361 Fax: 715-284-7166 | |
Mr. James Earl Carroll, CRNA, APNP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 711 W Adams St, C/o Anesthesia Department, Black River Falls, WI 54615 Phone: 715-284-5361 Fax: 715-284-7166 |