| Gina Marie Bleyenburg, CRNA | |
|
801 5th St, Sioux City, IA 51101-1326 | |
| (712) 279-2505 | |
| Not Available |
| Full Name | Gina Marie Bleyenburg |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 18 Years |
| Location | 801 5th St, Sioux City, Iowa |
| 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 |
|---|---|---|---|
| 1326214776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | D119374 (Iowa) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | CR000700 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sanford Usd Medical Center | Sioux falls, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sanford Medical Center | 8325950215 | 750 |
| Entity Name | Sanford Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093090342 PECOS PAC ID: 8325950215 Enrollment ID: O20040115000388 |
| Mailing Address | Practice Location Address |
|---|---|
| Gina Marie Bleyenburg, CRNA 1305 W 18th St, Sioux Falls, SD 57105-0401 Ph: (605) 333-1000 | Gina Marie Bleyenburg, CRNA 801 5th St, Sioux City, IA 51101-1326 Ph: (712) 279-2505 |
Lance D Breit, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2720 Stone Park Blvd, Sioux City, IA 51104 Phone: 712-255-2324 | |
Robert Baczwaski, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2720 Stone Park Blvd, Sioux City, IA 51104 Phone: 712-255-2324 | |
Raichatou Ann Jackson, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2720 Stone Park Blvd, Sioux City, IA 51104 Phone: 712-279-3500 | |
Patrick Menke, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2720 Stone Park Blvd, Sioux City, IA 51104 Phone: 712-279-3500 | |
Deborah Carter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 5th St, Sioux City, IA 51101 Phone: 712-279-2505 | |
Mr. Robert A Schoenfelder, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2720 Stone Park Blvd, Sioux City, IA 51104 Phone: 712-279-3290 | |
Kathleen S Manning, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2720 Stone Park Blvd, Sioux City, IA 51104 Phone: 712-255-2324 |