| Mr David Brad Bogard, CRNA | |
|
855 N Westhaven Dr, Oshkosh, WI 54904 | |
| (920) 456-6000 | |
| (920) 456-5590 |
| Full Name | Mr David Brad Bogard |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 26 Years |
| Location | 855 N Westhaven Dr, Oshkosh, 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 |
|---|---|---|---|
| 1023056058 | NPI | - | NPPES |
| 51135 | Other | WI | WISCONSIN LICENSE |
| 1018214003 | Other | WI | DIAMOND PROVIDER # |
| 43399200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2465 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Thedacare Medical Center-waupaca | Waupaca, WI | Hospital |
| Thedacare Regional Med Ctr - Neenah | Neenah, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Association Of Hospital Anesthesiologists Sc | 3476539875 | 79 |
| Entity Name | Association Of Hospital Anesthesiologists Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720076474 PECOS PAC ID: 3476539875 Enrollment ID: O20050719001050 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr David Brad Bogard, CRNA 855 N Westhaven Dr, Oshkosh, WI 54904-7668 Ph: (920) 456-6000 | Mr David Brad Bogard, CRNA 855 N Westhaven Dr, Oshkosh, WI 54904 Ph: (920) 456-6000 |
Ms. Michele M Osborne, CRNA-MNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 Fax: 920-303-5630 | |
Patrick A Tousignant, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 500 S Oakwood Rd, Oshkosh, WI 54904 Phone: 920-232-1941 | |
Jamie Davis, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 6450 S Us Highway 45, Oshkosh, WI 54902 Phone: 920-379-4569 | |
Kelly A Kastein, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 Fax: 920-303-5632 | |
Kristoffer L Hagen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 S Oakwood Rd, Oshkosh, WI 54904 Phone: 920-223-2000 | |
Laura Swenson, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 500 S Oakwood Rd, Oshkosh, WI 54904 Phone: 920-223-1941 |