| Mr Matthew J Lewis, CRNA | |
|
512 Skyline Blvd, Cloquet, MN 55720-3787 | |
| (218) 878-7699 | |
| Not Available |
| Full Name | Mr Matthew J Lewis |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 32 Years |
| Location | 512 Skyline Blvd, Cloquet, 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 |
|---|---|---|---|
| 1770507600 | NPI | - | NPPES |
| 685325100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R1161207 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centracare Clinic | 2466363395 | 701 |
| Unity Family Healthcare | 9830003516 | 47 |
| Entity Name | Centracare Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
| Entity Name | Unity Family Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326234006 PECOS PAC ID: 9830003516 Enrollment ID: O20031117000732 |
| Entity Name | North Shore Anesthesia Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922051291 PECOS PAC ID: 9032016936 Enrollment ID: O20031218000114 |
| Entity Name | Community Memorial Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003869082 PECOS PAC ID: 0042129991 Enrollment ID: O20040202001203 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Matthew J Lewis, CRNA 512 Skyline Blvd, Cloquet, MN 55720-3787 Ph: (218) 878-7699 | Mr Matthew J Lewis, CRNA 512 Skyline Blvd, Cloquet, MN 55720-3787 Ph: (218) 878-7699 |
Mr. Patrick A Bailey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 512 Skyline Blvd, Cloquet, MN 55720 Phone: 218-878-7699 | |
Breanna Hieb, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 512 Skyline Blvd Ste 1, Cloquet, MN 55720 Phone: 218-879-4641 | |
Joseph Vidmar, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 512 Skyline Blvd Ste 1, Cloquet, MN 55720 Phone: 218-879-4641 | |
Bryan Paul Hunter, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 512 Skyline Blvd, Cloquet, MN 55720 Phone: 218-879-4641 Fax: 218-878-7081 | |
Glen David Palokangas, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 512 Skyline Blvd Ste 1, Cloquet, MN 55720 Phone: 218-879-4641 |