| Lance Kelly, | |
|
800 E 28th St, Minneapolis, MN 55407-3723 | |
| (865) 342-8900 | |
| Not Available |
| Full Name | Lance Kelly |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 14 Years |
| Location | 800 E 28th St, Minneapolis, Minnesota |
| 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 |
|---|---|---|---|
| 1689959777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 169078-30 (Wisconsin) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | CRNA 1911 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aspirus Wausau Hospital | Wausau, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Wisconsin Anesthesiology | 5597667097 | 53 |
| Divine Savior Healthcare Inc | 5799684007 | 94 |
| Aspirus Rhinelander And Tomahawk Hospitals And Clinics Inc | 9335059856 | 343 |
| 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 | Aspirus Rhinelander & Tomahawk Hospitals & Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144991340 PECOS PAC ID: 9335059856 Enrollment ID: O20031126000706 |
| Entity Name | Central Wisconsin Anesthesiology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518999648 PECOS PAC ID: 5597667097 Enrollment ID: O20040124000074 |
| Entity Name | Langlade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831251040 PECOS PAC ID: 1557271202 Enrollment ID: O20040212000310 |
| Entity Name | Divine Savior Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124083894 PECOS PAC ID: 5799684007 Enrollment ID: O20040225000909 |
| 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 |
| Entity Name | Mchs Hospitals Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1952890873 PECOS PAC ID: 5698071173 Enrollment ID: O20180904002962 |
| Mailing Address | Practice Location Address |
|---|---|
| Lance Kelly, 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401-4123 Ph: (715) 845-5505 | Lance Kelly, 800 E 28th St, Minneapolis, MN 55407-3723 Ph: (865) 342-8900 |
Mrs. Angela Renae Mund, MS CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-467-3393 | |
Nancy S Hawley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 701 Park Ave, Minneapolis, MN 55415 Phone: 612-873-3152 Fax: 612-904-4218 | |
Drew David Mathews, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-871-7639 Fax: 612-872-0302 | |
Joyce Sia Stewart, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-871-7639 Fax: 612-872-0302 | |
Sara Jayne Armbruster, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8170 33rd Avenue South, Ms 21110q, Minneapolis, MN 55440 Phone: 952-883-7172 Fax: 952-883-5395 | |
Linh Tran Geist, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-871-7639 Fax: 612-872-0302 | |
Asal Salehpoor Driscoll, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404 Phone: 612-813-6273 |