| Scott Lee Gradberg, CRNA | |
|
135 South Gibson St, Medford, WI 54451-1622 | |
| (715) 748-8100 | |
| (715) 748-8199 |
| Full Name | Scott Lee Gradberg |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 29 Years |
| Location | 135 South Gibson St, Medford, 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 |
|---|---|---|---|
| 1528152287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 047894 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aspirus Medford Hospital & Clinics, Inc | Medford, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aspirus Medford Hospital And Clinics Inc | 5799688602 | 61 |
| Entity Name | Aspirus Medford Hospital & Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285703173 PECOS PAC ID: 5799688602 Enrollment ID: O20040129000007 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Lee Gradberg, CRNA 135 S Gibson St, Medford, WI 54451-1622 Ph: (715) 748-8100 | Scott Lee Gradberg, CRNA 135 South Gibson St, Medford, WI 54451-1622 Ph: (715) 748-8100 |
Angela Marie Guden, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 220 S 7th St, Medford, WI 54451 Phone: 715-432-8888 | |
Carl Henry Zondlo, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 135 S Gibson St, Medford, WI 54451 Phone: 715-748-8100 | |
Mr. Stuart Gall, MS, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 135 S Gibson St, Medford, WI 54451 Phone: 715-748-8100 Fax: 715-748-8847 |