| Jillian Pechacek, | |
|
2321 Stout Road, Menomonie, WI 54751-7003 | |
| (715) 838-5222 | |
| Not Available |
| Full Name | Jillian Pechacek |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2321 Stout Road, Menomonie, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033588074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 171879 (Wisconsin) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 6682 (Wisconsin) | Primary |
| Entity Name | Metropolitan Anesthesia Network Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558314427 PECOS PAC ID: 5698689123 Enrollment ID: O20031118000579 |
| Entity Name | Saint Elizabeths Hospital Of Wabasha Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659355600 PECOS PAC ID: 5092619387 Enrollment ID: O20031119000811 |
| Entity Name | Twin Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265105332 PECOS PAC ID: 2163888793 Enrollment ID: O20240816002642 |
| Mailing Address | Practice Location Address |
|---|---|
| Jillian Pechacek, 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 | Jillian Pechacek, 2321 Stout Road, Menomonie, WI 54751-7003 Ph: (715) 838-5222 |
Carl Green, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2321 Stout Road, Menomonie, WI 54751 Phone: 715-235-9671 | |
Kelly F. Jarvis-ziehl, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2321 Stout Rd, Menomonie, WI 54751 Phone: 715-235-5531 Fax: 715-233-7645 | |
Nichole Ashley Berryman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2321 Stout Rd, Menomonie, WI 54751 Phone: 715-838-5222 | |
Patricia Jo Jennings, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2321 Stout Rd, Menomonie, WI 54751 Phone: 715-838-5222 Fax: 608-791-9898 | |
Tammy G Buchanan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2321 Stout Rd, Menomonie, WI 54751 Phone: 715-235-9671 | |
Mr. Robert David Schmieg, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2321 Stout Rd, Menomonie, WI 54751 Phone: 715-235-9671 |