| Jeffrey Martell, CRNA | |
|
14320 W Oak Knoll Rd, Wadsworth, IL 60083-9232 | |
| (612) 991-3054 | |
| Not Available |
| Full Name | Jeffrey Martell |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 7 Years |
| Location | 14320 W Oak Knoll Rd, Wadsworth, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437349701 | NPI | - | NPPES |
| 100270551 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 237366-30 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension All Saints Hospital | Racine, WI | Hospital |
| Aurora Memorial Hospital Burlington | Burlington, WI | Hospital |
| Aurora Medical Center Kenosha | Kenosha, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Partners Services Sc | 4082832514 | 33 |
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| Racine Anesthesia Services Llc | 8628103777 | 68 |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Entity Name | Prairie Ridge Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154403657 PECOS PAC ID: 6800791484 Enrollment ID: O20040210000777 |
| 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 |
| Entity Name | Anesthesia Partners Services Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861810947 PECOS PAC ID: 4082832514 Enrollment ID: O20140826000757 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Martell, CRNA 14320 W Oak Knoll Rd, Wadsworth, IL 60083-9232 Ph: (612) 991-3054 | Jeffrey Martell, CRNA 14320 W Oak Knoll Rd, Wadsworth, IL 60083-9232 Ph: (612) 991-3054 |