Richard G Gospodarek, CRNA in Appleton, WI - Medicare Nurse Anesthetist, Certified Registered

Richard G Gospodarek, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Appleton, Wisconsin. His current practice location is 1818 N Meade St, Appleton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 731-4101.

Richard G Gospodarek is licensed to practice in Wisconsin (license number 132.33) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1942342035.

Contact Information

	Richard G Gospodarek, CRNA
	1818 N Meade St, Appleton, WI 54911-3454
	(920) 731-4101
	Not Available

Map and Direction

Provider's Profile

Full Name	Richard G Gospodarek
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	1818 N Meade St, Appleton, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942342035
Provider Enumeration Date: 02/13/2007
Last Update Date: 10/03/2019

Medicare PECOS Information:

PECOS PAC ID: 0042406936
Enrollment ID: I20101117001336

Medical Identifiers

Medical identifiers for Richard G Gospodarek such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942342035	NPI	-	NPPES
43272500	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	132.33 (Wisconsin)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Richard G Gospodarek allows following entities to bill medicare on his behalf.

Entity Name	Association Of Hospital Anesthesiologists Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720076474 PECOS PAC ID: 3476539875 Enrollment ID: O20050719001050

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Richard G Gospodarek is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Richard G Gospodarek, CRNA 2109 E Capitol Dr, Ste B, Appleton, WI 54911-8726 Ph: (866) 313-0337	Richard G Gospodarek, CRNA 1818 N Meade St, Appleton, WI 54911-3454 Ph: (920) 731-4101

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Appleton, WI

Samuel A. Southard, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1506 S Oneida St, Appleton, WI 54915 Phone: 920-738-2000 Fax: 920-224-1706
Michael Poeschel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2109 E Capitol Dr Ste B, Appleton, WI 54911 Phone: 844-693-1483
Mark Garold Pontow, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1506 S Oneida St, Appleton, WI 54915 Phone: 920-738-2000
Angela M. Morey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-731-4101
Kevin M Hoeksema, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1506 S Oneida St, Appleton, WI 54915 Phone: 920-738-2000
Ellen M Hambel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1506 S Oneida St, Appleton, WI 54915 Phone: 920-738-2611
Shad Winget, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-731-4101

Richard G Gospodarek, CRNA - Medicare Nurse Anesthetist, Certified Registered in Appleton, WI