| Mr Jeffrey Duane Martin, CRNA | |
|
500 S Maple St, Waconia, MN 55387-1752 | |
| (952) 442-2191 | |
| Not Available |
| Full Name | Mr Jeffrey Duane Martin |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 34 Years |
| Location | 500 S Maple St, Waconia, Minnesota |
| 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 |
|---|---|---|---|
| 1023185378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R113772-3 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ridgeview Medical Center | Waconia, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Metropolitan Anesthesia Network Llp | 5698689123 | 497 |
| Entity Name | Ridgeview Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528364429 PECOS PAC ID: 9234041997 Enrollment ID: O20031111000183 |
| Entity Name | Metropolitan Anesthesia Network Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558314427 PECOS PAC ID: 5698689123 Enrollment ID: O20031118000579 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jeffrey Duane Martin, CRNA 4510 Enchanted Dr, Mound, MN 55364-9300 Ph: (952) 474-5937 | Mr Jeffrey Duane Martin, CRNA 500 S Maple St, Waconia, MN 55387-1752 Ph: (952) 442-2191 |
Cynthia Mohnen Brick, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 500 S Maple St, Waconia, MN 55387 Phone: 952-442-2191 | |
Mr. Cortland J Arlien, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 500 S Maple St, Waconia, MN 55387 Phone: 952-442-2191 | |
Debra Mae Drew, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 S Maple St, Waconia, MN 55387 Phone: 952-442-2191 | |
Mr. David Scott Jackson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 S Maple St, Waconia, MN 55387 Phone: 952-442-2191 | |
Catherine Leah Wood, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 S Maple St, Waconia, MN 55387 Phone: 952-442-2191 | |
Karissa Lyn Conforte, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 500 S Maple St, Waconia, MN 55387 Phone: 952-442-2191 |