| James G Vanbommel, CRNA | |
|
259 N Park Ave, Fond Du Lac, WI 54935-3540 | |
| (920) 921-8528 | |
| Not Available |
| Full Name | James G Vanbommel |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 259 N Park Ave, Fond Du Lac, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609904689 | NPI | - | NPPES |
| 43418500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 126-033 (Wisconsin) | Primary |
| Entity Name | Anesthesia Services Of The Fox Valley Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750385597 PECOS PAC ID: 1658345228 Enrollment ID: O20040820000728 |
| Entity Name | New Anesthesiology Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629163894 PECOS PAC ID: 0547269078 Enrollment ID: O20061212000118 |
| Mailing Address | Practice Location Address |
|---|---|
| James G Vanbommel, CRNA 259 N Park Ave, Fond Du Lac, WI 54935-3540 Ph: (920) 921-8528 | James G Vanbommel, CRNA 259 N Park Ave, Fond Du Lac, WI 54935-3540 Ph: (920) 921-8528 |
Mary Lausch Arrigoni, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-5942 | |
Carol A Craig, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-2300 | |
Sydney Li Blaine, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1004 Bluehill Ave, Fond Du Lac, WI 54935 Phone: 920-904-4807 | |
Mrs. Kelly Mukti Flynn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-929-2300 | |
Wendy E Wiese, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 430 E Division St, Suite 4, Fond Du Lac, WI 54935 Phone: 920-926-2300 | |
Mr. Gilberto Cantu, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-929-2300 | |
Steven J. Feit, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-4920 |