| Mrs Lisa Lynn Mcbrayer, CRNA | |
|
2302 Highway 46, Deer Park, WI 54007-7501 | |
| (715) 269-5530 | |
| Not Available |
| Full Name | Mrs Lisa Lynn Mcbrayer |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 32 Years |
| Location | 2302 Highway 46, Deer Park, 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 |
|---|---|---|---|
| 1215943972 | NPI | - | NPPES |
| 43397200 | Medicaid | WI | |
| R 113428-9 | Other | MN | RN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 044983 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Croix Regional Medical Center | Saint croix falls, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. Croix Regional Medical Center | 9335032184 | 131 |
| Entity Name | St. Croix Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043240922 PECOS PAC ID: 9335032184 Enrollment ID: O20040205000217 |
| Entity Name | Baldwin Area Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467496133 PECOS PAC ID: 7911800586 Enrollment ID: O20040310000505 |
| Entity Name | Amery Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093763518 PECOS PAC ID: 2769391960 Enrollment ID: O20040326000141 |
| Entity Name | Westfields Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1881640183 PECOS PAC ID: 2264490960 Enrollment ID: O20061104000432 |
| Entity Name | St. Croix Regional Medical Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1043240922 PECOS PAC ID: 9335032184 Enrollment ID: O20061104000660 |
| Entity Name | Amery Regional Medical Center Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1093763518 PECOS PAC ID: 2769391960 Enrollment ID: O20080314000485 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lisa Lynn Mcbrayer, CRNA 968 Sunrise Beach Dr, Amery, WI 54001-4829 Ph: (715) 268-6141 | Mrs Lisa Lynn Mcbrayer, CRNA 2302 Highway 46, Deer Park, WI 54007-7501 Ph: (715) 269-5530 |