| Kyle Michael Anderson, CRNA | |
|
744 S Webster Ave, Green Bay, WI 54301-3505 | |
| (715) 495-4001 | |
| Not Available |
| Full Name | Kyle Michael Anderson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 4 Years |
| Location | 744 S Webster Ave, Green Bay, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205580313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 848576 (Nevada) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 162603 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gundersen Lutheran Medical Center | La crosse, WI | Hospital |
| Bellin Memorial Hospital | Green bay, WI | Hospital |
| Pinnacle Health Hospitals | Harrisburg, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Upmc Pinnacle Anesthesia Services Llc | 1951662980 | 251 |
| Gundersen Lutheran Medical Center Inc | 2163331414 | 901 |
| Bellin Memorial Hospital Inc | 8820900749 | 679 |
| Entity Name | St Vincent Medical Education And Research Institute Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902881477 PECOS PAC ID: 3870405137 Enrollment ID: O20031104000576 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Michael Anderson, CRNA Po Box 840857, Dallas, TX 75284-0857 Ph: (725) 204-4632 | Kyle Michael Anderson, CRNA 744 S Webster Ave, Green Bay, WI 54301-3505 Ph: (715) 495-4001 |
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: Accepting Medicare Assignments 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: Accepting Medicare Assignments Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-433-0111 Fax: 920-431-3071 |