| Mr Wayne Berisford Janitschke Jr, CRNA | |
|
301 Becker Ave Sw, Willmar, MN 56201-3302 | |
| (320) 235-4543 | |
| Not Available |
| Full Name | Mr Wayne Berisford Janitschke Jr |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 301 Becker Ave Sw, Willmar, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427013606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R116000-4 (Minnesota) | Primary |
| Entity Name | Ccm Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720086028 PECOS PAC ID: 4284539453 Enrollment ID: O20031201000642 |
| Entity Name | Ortonville Area Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477799765 PECOS PAC ID: 2365448768 Enrollment ID: O20090326000381 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Wayne Berisford Janitschke Jr, CRNA 3208 Eagle Ridge Dr E, Willmar, MN 56201-8734 Ph: (320) 214-8166 | Mr Wayne Berisford Janitschke Jr, CRNA 301 Becker Ave Sw, Willmar, MN 56201-3302 Ph: (320) 235-4543 |
Ms. Kaylene Nichole Larson, APRN, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 301 Becker Ave Sw, Willmar, MN 56201 Phone: 320-235-4543 | |
James Malkuch, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 Becker Ave Sw, Willmar, MN 56201 Phone: 320-235-4543 | |
Ms. Kimberly Diane Rupp-montpetit, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 Becker Ave Sw, Willmar, MN 56201 Phone: 320-231-4120 | |
Mr. Grayson Joel Swalin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 301 Becker Ave Sw, Willmar, MN 56201 Phone: 320-231-4130 | |
Eric Julian Peterson, CRNA,MSN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 Becker Ave Sw, Willmar, MN 56201 Phone: 320-231-4120 | |
Donald Glenn Fisher, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 301 Becker Ave Sw, Rice Hospital, Willmar, MN 56201 Phone: 320-231-4130 | |
Charles Haupert Ii, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 101 Willmar Ave Sw, Willmar, MN 56201 Phone: 320-231-5079 |