| Kathleen D Henke, CRNA | |
|
200 1st St Sw, Rochester, MN 55905-0001 | |
| (507) 284-2511 | |
| Not Available |
| Full Name | Kathleen D Henke |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 200 1st St Sw, Rochester, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316910938 | NPI | - | NPPES |
| ENROLLED | Medicaid | WI | |
| P00319413 | Other | MN | RAILROAD MEDICARE |
| 497432800 | Medicaid | MN | |
| ENROLLED | Medicaid | ID | |
| ENROLLED | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R-144717-0 (Minnesota) | 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 | Mngi Digestive Health Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609804541 PECOS PAC ID: 8123016557 Enrollment ID: O20040504001467 |
| Entity Name | South Metropolitan Anesthesia Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649265737 PECOS PAC ID: 1153370911 Enrollment ID: O20050119000369 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen D Henke, CRNA 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 | Kathleen D Henke, CRNA 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 |
Emmanuel J Lujero, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Amy Jo Neveau, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Jennifer Charlebois, CRNA, DNAP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Joella Horner, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Seth Kenton Mogler, DNAP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Mrs. Stephanie Marie Cabler, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Brian D Ward, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 |