| Peter David Blochowicz, CRNA | |
|
3801 Spring St, Racine, WI 53405-1667 | |
| (262) 687-4011 | |
| Not Available |
| Full Name | Peter David Blochowicz |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 15 Years |
| Location | 3801 Spring St, Racine, Wisconsin |
| 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 |
|---|---|---|---|
| 1669784112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 139181-30 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Medical Center Kenosha | Kenosha, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| 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 |
| Entity Name | Midwest Physicians Anesthesia Service, Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275586653 PECOS PAC ID: 0446230445 Enrollment ID: O20040721000807 |
| Entity Name | Racine Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467782748 PECOS PAC ID: 8628103777 Enrollment ID: O20100316000106 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter David Blochowicz, CRNA 402 19th St S, La Crosse, WI 54601-5023 Ph: (414) 430-1355 | Peter David Blochowicz, CRNA 3801 Spring St, Racine, WI 53405-1667 Ph: (262) 687-4011 |
Tanya Higgins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3801 Spring St, Racine, WI 53405 Phone: 262-687-4011 | |
Courtney Brooke Hoffman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3801 Spring St, Racine, WI 53405 Phone: 262-687-4392 |