| Heidi Genereux, CRNA | |
|
2400 St Francis Dr, Breckenridge, MN 56520-1025 | |
| (218) 643-3000 | |
| (574) 268-0684 |
| Full Name | Heidi Genereux |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 42 Years |
| Location | 2400 St Francis Dr, Breckenridge, Minnesota |
| 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 |
|---|---|---|---|
| 1124135629 | NPI | - | NPPES |
| 430051818 | Other | MN | PALMETTO GBA - RAILROAD MEDICARE |
| 12110 | Medicaid | ND | |
| 149842800 | Medicaid | MN | |
| 430051818 | Other | ND | PALMETTA GBA - RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R 095825 9 (Minnesota) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | R20219 (North Dakota) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Francis Medical Center | 8123937992 | 16 |
| Entity Name | St Francis Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891954574 PECOS PAC ID: 8123937992 Enrollment ID: O20040429000995 |
| Entity Name | St Francis Medical Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1639162381 PECOS PAC ID: 8123937992 Enrollment ID: O20080303000129 |
| Mailing Address | Practice Location Address |
|---|---|
| Heidi Genereux, CRNA Po Box 1296, Warsaw, IN 46581-1296 Ph: (574) 268-9640 | Heidi Genereux, CRNA 2400 St Francis Dr, Breckenridge, MN 56520-1025 Ph: (218) 643-3000 |
Robert Splichal, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2400 St Francis Dr, Breckenridge, MN 56520 Phone: 218-643-3000 |
Corey Stump, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2400 St Francis Dr, Breckenridge, MN 56520 Phone: 218-643-3000 |