| Joseph Michael Klick, CRNA | |
|
717 S State St, Ste 100, Fairmont, MN 56031-4470 | |
| (507) 235-3939 | |
| Not Available |
| Full Name | Joseph Michael Klick |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 37 Years |
| Location | 717 S State St, Fairmont, Minnesota |
| 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 |
|---|---|---|---|
| 1073516266 | NPI | - | NPPES |
| 27G81KL | Other | MN | BLUE CROSS MN |
| 430056096 | Other | MN | PALMETTO GBA RR MC |
| 177742400 | Medicaid | MN | |
| 2552 | Other | MN | ARAZ |
| 143425200 | Other | MN | US DEPARTMENT OF LABOR |
| 1103036 | Other | MN | ARAZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R0799010 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Center For Pain Management, P.a. | 8820008832 | 12 |
| Entity Name | Regional Anesthesia Services Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073621850 PECOS PAC ID: 0648250548 Enrollment ID: O20040721001562 |
| Entity Name | Glacial Ridge Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255348223 PECOS PAC ID: 5294789194 Enrollment ID: O20050719000315 |
| Entity Name | Center For Pain Management, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215977079 PECOS PAC ID: 8820008832 Enrollment ID: O20060504000260 |
| Entity Name | Center For Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639696206 PECOS PAC ID: 6709143506 Enrollment ID: O20171204001966 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Michael Klick, CRNA 400 E 10th St, Waconia, MN 55387-4552 Ph: (952) 442-9770 | Joseph Michael Klick, CRNA 717 S State St, Ste 100, Fairmont, MN 56031-4470 Ph: (507) 235-3939 |
David Krusemark, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 800 Medical Center Dr, Fairmont, MN 56031 Phone: 507-238-8555 | |
Matthew Jewett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Medical Center Dr, Fairmont, MN 56031 Phone: 507-238-8100 | |
Kelly Ray Shantz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Medical Center Dr, Fairmont, MN 56031 Phone: 507-238-8555 | |
Craig Bergh, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 717 S State St Ste 100, Fairmont, MN 56031 Phone: 507-235-3939 | |
Steven Jerred, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Medical Center Dr, Fairmont, MN 56031 Phone: 507-238-8100 | |
Mr. Shawn Michael Overgaard, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Medical Center Dr, Fairmont, MN 56031 Phone: 507-238-8110 Fax: 507-238-8686 |