Mary G Dudley, CRNA in La Crosse, WI - Medicare Nurse Anesthetist, Certified Registered

Mary G Dudley, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in La Crosse, Wisconsin. Her current practice location is 1836 South Ave, La Crosse, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 782-7300.

Mary G Dudley is licensed to practice in Wisconsin (license number 66101) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1558366658.

Contact Information

	Mary G Dudley, CRNA
	1836 South Ave, La Crosse, WI 54601-5429
	(608) 782-7300
	Not Available

Map and Direction

Provider's Profile

Full Name	Mary G Dudley
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	1836 South Ave, La Crosse, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558366658
Provider Enumeration Date: 06/15/2005
Last Update Date: 03/30/2016

Medicare PECOS Information:

PECOS PAC ID: 8022195213
Enrollment ID: I20080412000034

Medical Identifiers

Medical identifiers for Mary G Dudley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558366658	NPI	-	NPPES
43276700	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	66101 (Wisconsin)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mary G Dudley allows following entities to bill medicare on her behalf.

Entity Name	Gundersen Clinic Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031106000139

Entity Name	Black River Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811940331 PECOS PAC ID: 3173431178 Enrollment ID: O20040303000688

Entity Name	Tri-county Memorial Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417201864 PECOS PAC ID: 4587642418 Enrollment ID: O20040708000696

Entity Name	Gundersen Lutheran Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225873458 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary G Dudley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mary G Dudley, CRNA 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300	Mary G Dudley, CRNA 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in La Crosse, WI

Jessica E Thesing, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Grace M Muench, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Mary J Malesytcki, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Mr. Michael Joe Sanders, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Robyn Jo Davis, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Ms. Jane A. Ringhand, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 700 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940
Mary C Nofftz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300

Mary G Dudley, CRNA - Medicare Nurse Anesthetist, Certified Registered in La Crosse, WI