| Saja C Puthiyottil, CRNA | |
|
1969 W Hart Rd, Attn: Anesthesia Dept, Beloit, WI 53511-2230 | |
| (608) 364-5355 | |
| (608) 362-0417 |
| Full Name | Saja C Puthiyottil |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 6 Years |
| Location | 1969 W Hart Rd, Beloit, 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 |
|---|---|---|---|
| 1285093351 | NPI | - | NPPES |
| 1285093351 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F0216734 (Wisconsin) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 6833-33 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beloit Health System | Beloit, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ias Illinois Pc | 9638530991 | 61 |
| Entity Name | Stateline Anesthesiologists Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316937519 PECOS PAC ID: 1355353822 Enrollment ID: O20060627000180 |
| Entity Name | Ias Illinois Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265118723 PECOS PAC ID: 9638530991 Enrollment ID: O20250204001833 |
| Mailing Address | Practice Location Address |
|---|---|
| Saja C Puthiyottil, CRNA 3005 Riverside, Suite 206, Beloit, WI 53511-1500 Ph: (608) 362-7444 | Saja C Puthiyottil, CRNA 1969 W Hart Rd, Attn: Anesthesia Dept, Beloit, WI 53511-2230 Ph: (608) 364-5355 |
Dawn M Ruecker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2102 Freeman Pkwy, Beloit, WI 53511 Phone: 815-398-9491 | |
Beverly Joy La Madrid, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1969 W Hart Rd, Beloit, WI 53511 Phone: 608-362-7444 |