| Justin Eisberner, | |
|
130 2nd St, Neenah, WI 54956-2883 | |
| (920) 729-3100 | |
| Not Available |
| Full Name | Justin Eisberner |
|---|---|
| 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 |
|---|---|---|---|
| 1063277960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WG0000X | Registered Nurse - General Practice | 176193-30 (Wisconsin) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 176193 (Wisconsin) | Primary |
| Entity Name | Association Of Hospital Anesthesiologists Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720076474 PECOS PAC ID: 3476539875 Enrollment ID: O20050719001050 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Eisberner, 2097 Abbey Rd Apt 201, Onalaska, WI 54650-6600 Ph: (608) 224-9999 | Justin Eisberner, 130 2nd St, Neenah, WI 54956-2883 Ph: (920) 729-3100 |
James P Manderle, MD Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 130 2nd St, Ste. A107, Neenah, WI 54956 Phone: 920-729-3332 | |
Richard Anton Dziewit, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled 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 | |
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 |