| Jacqueline Materi, CRNA | |
|
1120 College Dr Ste 100, Bismarck, ND 58501-1225 | |
| (701) 760-8606 | |
| (701) 760-8050 |
| Full Name | Jacqueline Materi |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1120 College Dr Ste 100, Bismarck, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881088383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R41683 (North Dakota) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R41683 (North Dakota) | Secondary |
| 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 |
| Entity Name | Black Hills Surgical Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1376896621 PECOS PAC ID: 5496742835 Enrollment ID: O20130513000380 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Materi, CRNA 3250 123rd Ave Nw, Bismarck, ND 58503-8449 Ph: (701) 471-0081 | Jacqueline Materi, CRNA 1120 College Dr Ste 100, Bismarck, ND 58501-1225 Ph: (701) 760-8606 |
Rodney N Kraft, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 Fax: 701-323-5709 | |
Renee Christ, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 E Broadway Avenue, Bismarck, ND 58501 Phone: 701-530-7000 | |
Jamie L Hawk, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 Fax: 701-323-5709 | |
Kim E Geiger, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 900 E Broadway Avenue, Bismarck, ND 58501 Phone: 701-530-7000 Fax: 701-530-8842 | |
Rebekah Charchenko, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 E Broadway Ave, Bismarck, ND 58501 Phone: 701-530-7000 | |
Brendin Michael Steiner, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 335 Willow Ln, Bismarck, ND 58504 Phone: 701-590-2762 | |
Donald Christopher Martin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 E Broadway Ave, Bismarck, ND 58501 Phone: 701-530-7000 |