| Michael Haecherl, CRNA | |
|
1705 W 2nd St, Elk City, OK 73644-4455 | |
| (580) 225-2511 | |
| Not Available |
| Full Name | Michael Haecherl |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 42 Years |
| Location | 1705 W 2nd St, Elk City, Oklahoma |
| 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 |
|---|---|---|---|
| 1811967862 | NPI | - | NPPES |
| 430013372 | Other | RAILROAD MEDICARE | |
| 100787290A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R0051097 (Oklahoma) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kiowa County Hospital Authority | 7416948500 | 9 |
| Entity Name | Southern Plains Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962469098 PECOS PAC ID: 5991618969 Enrollment ID: O20031106000698 |
| Entity Name | Kiowa County Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699758086 PECOS PAC ID: 7416948500 Enrollment ID: O20040519000013 |
| Entity Name | Newman Memorial Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083617807 PECOS PAC ID: 2567482367 Enrollment ID: O20051122000749 |
| Entity Name | Southwestern Oklahoma Surgical Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1841952397 PECOS PAC ID: 9830589738 Enrollment ID: O20211208002761 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Haecherl, CRNA Po Box 47923, Wichita, KS 67201-7923 Ph: (316) 685-6236 | Michael Haecherl, CRNA 1705 W 2nd St, Elk City, OK 73644-4455 Ph: (580) 225-2511 |
Ms. Karrianne Lyn Moore, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1801 W 3rd St, Elk City, OK 73644 Phone: 802-252-5115 Fax: 580-225-9143 | |
Paloma C Martinez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 W 3rd St, Elk City, OK 73644 Phone: 580-225-2511 | |
James Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1705 W 2nd St, Elk City, OK 73644 Phone: 580-225-2511 | |
Ms. Kedrin Nicole Hodges, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1801 W 3rd St, Elk City, OK 73644 Phone: 855-285-2455 |