| Mrs Kelly Marie Blonien, CRNA | |
|
11845 N. Sandhill Circle, Mequon, WI 53092 | |
| (414) 805-8700 | |
| (414) 259-1522 |
| Full Name | Mrs Kelly Marie Blonien |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 7 Years |
| Location | 11845 N. Sandhill Circle, Mequon, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891270096 | NPI | - | NPPES |
| 100084174 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 8740 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Orthopaedic Hospital Of Wi | Glendale, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Medical College Of Wisconsin Inc | 2668384371 | 1902 |
| Orthopaedic Hospital Of Wisconsin, Llc | 4981741709 | 18 |
| Entity Name | The Medical College Of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
| 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 |
| Entity Name | Orthopaedic Hospital Of Wisconsin, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669584983 PECOS PAC ID: 4981741709 Enrollment ID: O20160106001182 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kelly Marie Blonien, CRNA 11845 N. Sandhill Circle, Mequon, WI 53092 Ph: (414) 805-8700 | Mrs Kelly Marie Blonien, CRNA 11845 N. Sandhill Circle, Mequon, WI 53092 Ph: (414) 805-8700 |
Mrs. Elizabeth Shepler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 13111 N Port Washington Rd, Mequon, WI 53097 Phone: 262-243-7408 |