| Shane D Garner, CRNA | |
|
846 Windsor Rd, Ripon, WI 54971-2608 | |
| (262) 352-4521 | |
| Not Available |
| Full Name | Shane D Garner |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 13 Years |
| Location | 846 Windsor Rd, Ripon, 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 |
|---|---|---|---|
| 1457612640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 171073030 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Waupun Memorial Hospital | Waupun, WI | Hospital |
| Ripon Medical Center | Ripon, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Agnesian Healthcare Inc | 1658289624 | 360 |
| Anesthesia Services Of The Fox Valley Sc | 1658345228 | 15 |
| Entity Name | Agnesian Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263 |
| Entity Name | Anesthesia Services Of The Fox Valley Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750385597 PECOS PAC ID: 1658345228 Enrollment ID: O20040820000728 |
| Entity Name | Garner Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285030452 PECOS PAC ID: 0345564969 Enrollment ID: O20150130000121 |
| Mailing Address | Practice Location Address |
|---|---|
| Shane D Garner, CRNA 846 Windsor Rd, Ripon, WI 54971-2608 Ph: (262) 352-4521 | Shane D Garner, CRNA 846 Windsor Rd, Ripon, WI 54971-2608 Ph: (262) 352-4521 |
Philip J Mittelstaedt, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 845 Parkside St, Ripon, WI 54971 Phone: 920-748-3101 | |
Madeline M Pereira, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 933 Newbury St, Ripon, WI 54971 Phone: 920-748-3101 Fax: 920-406-7675 |