| Mr Benjamin T Skubal, | |
|
3200 Pleasant Valley Rd, West Bend, WI 53095-9274 | |
| (262) 836-7300 | |
| (262) 836-7301 |
| Full Name | Mr Benjamin T Skubal |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 15 Years |
| Location | 3200 Pleasant Valley Rd, West Bend, 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 |
|---|---|---|---|
| 1104135508 | NPI | - | NPPES |
| 1104135508 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 085261 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Froedtert Memorial Lutheran Hospital | Milwaukee, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Medical College Of Wisconsin Inc | 2668384371 | 1902 |
| Entity Name | The Medical College Of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
| Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Benjamin T Skubal, 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 Ph: (414) 805-2764 | Mr Benjamin T Skubal, 3200 Pleasant Valley Rd, West Bend, WI 53095-9274 Ph: (262) 836-7300 |
Mr. Matthew R Mueller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3200 Pleasant Valley Rd, West Bend, WI 53095 Phone: 262-836-7300 Fax: 262-836-7301 | |
Kari L Chakrabarti, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3200 Pleasant Valley Rd, West Bend, WI 53095 Phone: 262-836-7300 Fax: 262-836-7301 | |
Kristen N Burg, APNP, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 3200 Pleasant Valley Rd, West Bend, WI 53095 Phone: 262-836-7300 Fax: 262-836-7301 | |
Kerrie Lynn Goza, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3200 Pleasant Valley Rd, West Bend, WI 53095 Phone: 262-836-7300 Fax: 262-836-7301 | |
Calli Lemke, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3200 Pleasant Valley Rd, West Bend, WI 53095 Phone: 262-836-7300 Fax: 262-836-7301 | |
Lynne M Krebs, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 661 S Silverbrook Dr, West Bend, WI 53095 Phone: 262-335-0533 |