| Kristen L Selleck, CRNA | |
|
2845 Greenbrier Rd, Green Bay, WI 54311-6519 | |
| (920) 288-3388 | |
| (920) 288-3370 |
| Full Name | Kristen L Selleck |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 8 Years |
| Location | 2845 Greenbrier Rd, Green Bay, 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 |
|---|---|---|---|
| 1508305533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 9089-33 (Wisconsin) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 160193 (Wisconsin) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Ne Wisconsin - St Elizabeth Campus | Appleton, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Racine Anesthesia Services Llc | 8628103777 | 68 |
| Entity Name | Marshfield Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
| Entity Name | Bellin Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609838473 PECOS PAC ID: 8820900749 Enrollment ID: O20031121000089 |
| Entity Name | New Anesthesiology Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629163894 PECOS PAC ID: 0547269078 Enrollment ID: O20061212000118 |
| Entity Name | Racine Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467782748 PECOS PAC ID: 8628103777 Enrollment ID: O20100316000106 |
| Entity Name | Mchs Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen L Selleck, CRNA Po Box 22487, Green Bay, WI 54305-2487 Ph: (920) 445-7226 | Kristen L Selleck, CRNA 2845 Greenbrier Rd, Green Bay, WI 54311-6519 Ph: (920) 288-3388 |
Mr. Peter B Michon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54308 Phone: 920-288-3388 Fax: 920-288-3370 | |
Angela L Mathias, SRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-3388 Fax: 920-288-3370 | |
Julie A Podlasik, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-445-7226 Fax: 920-445-7289 | |
Jeremy J Jerdee, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-3388 Fax: 920-288-3370 | |
Christine M Zasuly, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-3388 Fax: 920-288-3370 | |
Joseph A Wenszell, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3605 Fax: 920-433-3589 | |
Barbara A. Eland, C.R.N.A. Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-433-0111 Fax: 920-431-3071 |