| Mrs Kelly Mukti Flynn, CRNA | |
|
430 E Division St, Fond Du Lac, WI 54935-4560 | |
| (920) 929-2300 | |
| Not Available |
| Full Name | Mrs Kelly Mukti Flynn |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 9 Years |
| Location | 430 E Division St, Fond Du Lac, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235417320 | NPI | - | NPPES |
| 100073374 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 7895 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Medical Ctr Oshkosh | Oshkosh, WI | Hospital |
| St Agnes Hospital | Fond du lac, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Agnesian Healthcare Inc | 1658289624 | 360 |
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| Ias Illinois Pc | 9638530991 | 61 |
| Entity Name | Agnesian Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kelly Mukti Flynn, CRNA 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (920) 303-8700 | Mrs Kelly Mukti Flynn, CRNA 430 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 929-2300 |
Mary Lausch Arrigoni, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-5942 | |
Carol A Craig, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-2300 | |
Sydney Li Blaine, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1004 Bluehill Ave, Fond Du Lac, WI 54935 Phone: 920-904-4807 | |
Wendy E Wiese, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 430 E Division St, Suite 4, Fond Du Lac, WI 54935 Phone: 920-926-2300 | |
Mr. Gilberto Cantu, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-929-2300 | |
Steven J. Feit, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-4920 |