| Ms Leslie A Wizauer, CRNA | |
|
12198 Mantawauka Dr, Fenton, MI 48430-8853 | |
| (810) 996-4775 | |
| Not Available |
| Full Name | Ms Leslie A Wizauer |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 21 Years |
| Location | 12198 Mantawauka Dr, Fenton, Michigan |
| 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 |
|---|---|---|---|
| 1205847316 | NPI | - | NPPES |
| 101850691 | Medicaid | MI | |
| 0B56166 | Other | MI | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 106426 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prestige Anesthesia Pc | 2668818329 | 7 |
| Midwest Anesthesia Resources, Inc. | 3476455726 | 13 |
| Entity Name | Midwest Anesthesia Resources, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467424465 PECOS PAC ID: 3476455726 Enrollment ID: O20040126000687 |
| Entity Name | Matrix Anesthesia Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386922268 PECOS PAC ID: 9830360544 Enrollment ID: O20110928000671 |
| Entity Name | Asa Staffing Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114378981 PECOS PAC ID: 3971898644 Enrollment ID: O20160818002713 |
| Entity Name | Prestige Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689445959 PECOS PAC ID: 2668818329 Enrollment ID: O20240315003067 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Leslie A Wizauer, CRNA 12198 Mantawauka Dr, Fenton, MI 48430-8853 Ph: (810) 964-7756 | Ms Leslie A Wizauer, CRNA 12198 Mantawauka Dr, Fenton, MI 48430-8853 Ph: (810) 996-4775 |
Chelsea Janes, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13294 N Horrell Rd, Fenton, MI 48430 Phone: 810-397-8020 |