| Suzanne M Jacobs, CRNA | |
|
80 1st St, Prairie Du Sac, WI 53578-1550 | |
| (608) 643-3311 | |
| Not Available |
| Full Name | Suzanne M Jacobs |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 29 Years |
| Location | 80 1st St, Prairie Du Sac, 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 |
|---|---|---|---|
| 1750353769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 041279752 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209-003105 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sauk Prairie Hospital | Prairie du sac, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sauk Prairie Healthcare Inc | 8224948054 | 93 |
| Entity Name | Sauk Prairie Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396884474 PECOS PAC ID: 8224948054 Enrollment ID: O20040129001089 |
| Mailing Address | Practice Location Address |
|---|---|
| Suzanne M Jacobs, CRNA 80 1st St, Prairie Du Sac, WI 53578-1550 Ph: (608) 643-3311 | Suzanne M Jacobs, CRNA 80 1st St, Prairie Du Sac, WI 53578-1550 Ph: (608) 643-3311 |
Curtis N Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 80 1st St, Prairie Du Sac, WI 53578 Phone: 608-643-3311 | |
David E Sisbach, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 80 1st St, Prairie Du Sac, WI 53578 Phone: 608-643-3311 | |
Jay P Ironside, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 80 1st St, Prairie Du Sac, WI 53578 Phone: 608-643-7299 | |
Tara L Mahoney, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 80 1st St, Prairie Du Sac, WI 53578 Phone: 608-643-3311 | |
Justin T. Schroeder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 80 1st St, Prairie Du Sac, WI 53578 Phone: 608-643-3311 Fax: 608-643-8600 | |
Sandra Carroll, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 260 26th St, Prairie Du Sac, WI 53578 Phone: 608-643-3311 | |
Mark A Starr, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 260 26th St, Prairie Du Sac, WI 53578 Phone: 608-643-3311 |