| Laura Marie Hertzel, CRNA | |
|
1050 E South Temple, Salt Lake City, UT 84102-1507 | |
| (913) 707-4773 | |
| Not Available |
| Full Name | Laura Marie Hertzel |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 4 Years |
| Location | 1050 E South Temple, Salt Lake City, Utah |
| 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 |
|---|---|---|---|
| 1083365027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 139246 (Utah) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 16199 (Wisconsin) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marshfield Medical Center | Marshfield, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mchs Hospitals Inc | 5698071173 | 1045 |
| 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 | Beaver Dam Community Hospitals Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972188555 PECOS PAC ID: 2567370539 Enrollment ID: O20040210000666 |
| Entity Name | Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346239373 PECOS PAC ID: 2365433224 Enrollment ID: O20040519001426 |
| Entity Name | Flambeau Hospital, Inc. |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1700963048 PECOS PAC ID: 9032029871 Enrollment ID: O20070828000478 |
| Entity Name | Memorial Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1346239373 PECOS PAC ID: 2365433224 Enrollment ID: O20110526000807 |
| 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 | Lakeview Medical Center Inc Of Rice Lake |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093201832 PECOS PAC ID: 6103737820 Enrollment ID: O20180817001484 |
| 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 |
| Entity Name | Flambeau Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194317966 PECOS PAC ID: 9032029871 Enrollment ID: O20210409000059 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Marie Hertzel, CRNA 1050 E South Temple, Salt Lake City, UT 84102-1507 Ph: () - | Laura Marie Hertzel, CRNA 1050 E South Temple, Salt Lake City, UT 84102-1507 Ph: (913) 707-4773 |
Matthew S Adams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1954 Fort Union Blvd Ste 114, Salt Lake City, UT 84121 Phone: 800-594-5736 | |
William R Smith, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3838 S 700 E, Suite 200, Salt Lake City, UT 84106 Phone: 801-261-4988 Fax: 801-269-9427 | |
Lauren L Roser, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8th Avenue C Street, Salt Lake City, UT 84143 Phone: 801-727-2056 Fax: 770-701-6675 | |
Mr. Craig E Parker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 65 N Medical Dr, Surgery Department, Salt Lake City, UT 84132 Phone: 801-581-3195 | |
Robert Edison Steele, RN, BSN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 500 Foothill Blvd, Salt Lake City, UT 84148 Phone: 801-792-5809 | |
Roger Sausedo, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3838 S 700 E, Suite 200, Salt Lake City, UT 84106 Phone: 801-261-4988 Fax: 801-269-9427 |