| Theresa M Welty, CRNA | |
|
5200 Fairview Blvd, Wyoming, MN 55092-8013 | |
| (651) 464-4611 | |
| (651) 464-7627 |
| Full Name | Theresa M Welty |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 28 Years |
| Location | 5200 Fairview Blvd, Wyoming, Minnesota |
| 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 |
|---|---|---|---|
| 1700856465 | NPI | - | NPPES |
| 44328200 | Medicaid | WI | |
| 965621015360 | Other | PREFERREDONE | |
| 13R64WE | Other | MN | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R1112955 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Minnesota Medical Center, Fairview | Minneapolis, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Anesthesia Providers Llc | 7315986064 | 314 |
| Entity Name | Metropolitan Anesthesia Network Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558314427 PECOS PAC ID: 5698689123 Enrollment ID: O20031118000579 |
| Entity Name | Winona Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295789352 PECOS PAC ID: 8527977420 Enrollment ID: O20040106000260 |
| Entity Name | North Metro Anesthesia Services Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457339780 PECOS PAC ID: 0648244152 Enrollment ID: O20040820001013 |
| Entity Name | University Anesthesia Providers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699711143 PECOS PAC ID: 7315986064 Enrollment ID: O20050502000881 |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa M Welty, CRNA 5200 Fairview Blvd, Wyoming, MN 55092-8013 Ph: (651) 464-4611 | Theresa M Welty, CRNA 5200 Fairview Blvd, Wyoming, MN 55092-8013 Ph: (651) 464-4611 |
Grant Backman, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-464-4611 Fax: 651-464-7627 | |
John R Gilbert, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-464-4611 Fax: 651-464-7627 | |
Heidi Lynn Ruzek, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000 | |
Kent N Yoshida, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-464-4611 Fax: 651-464-7627 | |
Trevor Ryan Goldsmith, DNP Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-464-4611 | |
Leon W Williams, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-464-4611 Fax: 651-464-7627 | |
Annetta M Atchison, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-464-4611 Fax: 651-464-7627 |