| Kimberly K Oliver, CRNA | |
|
1405 Mill St, New London, WI 54961-2155 | |
| (920) 531-2000 | |
| Not Available |
| Full Name | Kimberly K Oliver |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 15 Years |
| Location | 1405 Mill St, New London, 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 |
|---|---|---|---|
| 1265757843 | NPI | - | NPPES |
| ENROLLED | Medicaid | MN | |
| P00839047 | Other | MN | RAILROAD MEDICARE |
| ENROLLED | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 0191 (Minnesota) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 6607-33 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sanford Medical Center Fargo | Fargo, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eye Consultants Of Fargo Pllc | 5890045785 | 10 |
| Sanford Medical Center Fargo | 8426967803 | 1125 |
| Entity Name | Sanford Medical Center Fargo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495 |
| Entity Name | Eye Consultants Of Fargo Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083191985 PECOS PAC ID: 5890045785 Enrollment ID: O20180914000873 |
| Entity Name | Cssa Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942830856 PECOS PAC ID: 2163852641 Enrollment ID: O20200423003470 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly K Oliver, CRNA Po Box 2759, Appleton, WI 54912-2759 Ph: (920) 830-5900 | Kimberly K Oliver, CRNA 1405 Mill St, New London, WI 54961-2155 Ph: (920) 531-2000 |
Mr. Michael Reed, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2000 Fax: 920-531-2098 |