| Mr Jeffrey Thomas Vaughan Kroeger, CRNA | |
|
13250 Washington Ave, Mount Pleasant, WI 53177-1516 | |
| (262) 799-8700 | |
| Not Available |
| Full Name | Mr Jeffrey Thomas Vaughan Kroeger |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 16 Years |
| Location | 13250 Washington Ave, Mount Pleasant, 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 |
|---|---|---|---|
| 1154651115 | NPI | - | NPPES |
| 100008524 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 133302-030 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Midwestern Region Med Center | Zion, IL | Hospital |
| Aurora Medical Center Kenosha | Kenosha, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| City Of Hope Medical Group Of Illinois Pllc | 3274446596 | 109 |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Entity Name | Midwest Physicians Anesthesia Service, Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275586653 PECOS PAC ID: 0446230445 Enrollment ID: O20040721000807 |
| Entity Name | Anesthesia Partners Services Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861810947 PECOS PAC ID: 4082832514 Enrollment ID: O20140826000757 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jeffrey Thomas Vaughan Kroeger, CRNA Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Mr Jeffrey Thomas Vaughan Kroeger, CRNA 13250 Washington Ave, Mount Pleasant, WI 53177-1516 Ph: (262) 799-8700 |
Alexis Marie Ventura, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13250 Washington Ave, Mount Pleasant, WI 53177 Phone: 262-857-5000 | |
Maggie A Raskin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3801 Spring St, Mount Pleasant, WI 53405 Phone: 262-687-4011 | |
Mr. Tyler Shea Hensley, DNAP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3801 Spring St, Mount Pleasant, WI 53405 Phone: 262-687-4048 | |
Tony Flores Iii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3801 Spring St, Mount Pleasant, WI 53405 Phone: 412-937-5000 | |
Dr. Robert Marsh, DNP, CRNA, APNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13250 Washington Ave, Mount Pleasant, WI 53177 Phone: 262-799-8700 | |
Mr. Gregory J Johnson, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3801 Spring St, Mount Pleasant, WI 53405 Phone: 262-687-4011 |