| James P Manderle, MD | |
|
130 2nd St, Ste. A107, Neenah, WI 54956-2883 | |
| (920) 729-3332 | |
| Not Available |
| Full Name | James P Manderle |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 130 2nd St, Neenah, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013905769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 122034 (Wisconsin) | Primary |
| 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 |
| Entity Name | Racine Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467782748 PECOS PAC ID: 8628103777 Enrollment ID: O20100316000106 |
| Mailing Address | Practice Location Address |
|---|---|
| James P Manderle, MD 804 Scott Nixon Memorial Dr, Augusta, GA 30907-2464 Ph: (920) 729-3332 | James P Manderle, MD 130 2nd St, Ste. A107, Neenah, WI 54956-2883 Ph: (920) 729-3332 |
Richard Anton Dziewit, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Theda Clark Medical Plz, Neenah, WI 54956 Phone: 920-729-3100 | |
Hillary Rollins, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Theda Clark Medical Plz, Neenah, WI 54956 Phone: 920-729-3100 | |
Jeremiah Ennen, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1041 Honeysuckle Ln, Neenah, WI 54956 Phone: 507-514-2056 | |
Matthew James Michener, CRNA, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 130 2nd St, Neenah, WI 54956 Phone: 920-729-3100 | |
Matthew Behnke, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 130 2nd St, Suite A107, Neenah, WI 54956 Phone: 920-729-3100 |