| Matt Penzenstadler, BSN, SRNA | |
|
3007 North Ct Apt 108, Onalaska, WI 54650-3709 | |
| (612) 998-9417 | |
| Not Available |
| Full Name | Matt Penzenstadler |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 1 Years |
| Location | 3007 North Ct Apt 108, Onalaska, 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 |
|---|---|---|---|
| 1184434052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 266097 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Portland Medical Center | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospitalist Medicine Physicians Of Washington - Tcs | 6800240102 | 197 |
| Entity Name | Hospitalist Medicine Physicians of Washington - Tcs |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649816380 PECOS PAC ID: 6800240102 Enrollment ID: O20230920001616 |
| Mailing Address | Practice Location Address |
|---|---|
| Matt Penzenstadler, BSN, SRNA 3007 North Ct Apt 108, Onalaska, WI 54650-3709 Ph: (612) 998-9417 | Matt Penzenstadler, BSN, SRNA 3007 North Ct Apt 108, Onalaska, WI 54650-3709 Ph: (612) 998-9417 |
Patricia Olson, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9532 E 16 Frontage Rd, Onalaska, WI 54650 Phone: 608-783-0506 |
Amanda Larkin, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9532 E 16 Frontage Rd Ste 100, Onalaska, WI 54650 Phone: 608-783-0506 |
Kelsey Jo Minter, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 237 2nd Ave S, Onalaska, WI 54650 Phone: 608-783-4610 |
Tracy Weber, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9532 E 16 Frontage Rd, Ste. 100, Onalaska, WI 54650 Phone: 608-783-0506 |
Amy Brecheisen, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 713 Troy St, Onalaska, WI 54650 Phone: 608-387-4148 |
Sandra Gotz, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9532 E 16 Frontage Rd, Onalaska, WI 54650 Phone: 608-783-0506 |
Amy Thesing, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: N5881 Lakeview Ct E, Onalaska, WI 54650 Phone: 608-304-5053 Fax: 608-519-5012 |