| Todd L Koppa, CRNA | |
|
700 S Park St, Madison, WI 53715-1830 | |
| (608) 251-6100 | |
| (608) 258-5222 |
| Full Name | Todd L Koppa |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 13 Years |
| Location | 700 S Park St, Madison, 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 |
|---|---|---|---|
| 1619215001 | NPI | - | NPPES |
| 1619215001 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 134721-030 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health St Mary's Hospital - Madison | Madison, WI | Hospital |
| Ssm Health St Clare Hospital - Baraboo | Baraboo, WI | Hospital |
| Javon Bea Hospital | Rockford, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dean Health Systems Inc | 7012827983 | 1099 |
| Ssm Health Care Of Wisconsin Inc | 8527977867 | 30 |
| Rockford Health Physicians | 2567374036 | 362 |
| Entity Name | Dean Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584 |
| Entity Name | Ssm Health Care Of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184621211 PECOS PAC ID: 8527977867 Enrollment ID: O20040212000492 |
| Entity Name | Flambeau Hospital, Inc. |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1700963048 PECOS PAC ID: 9032029871 Enrollment ID: O20070828000478 |
| Mailing Address | Practice Location Address |
|---|---|
| Todd L Koppa, CRNA 700 S Park St, Madison, WI 53715-1830 Ph: (608) 251-6100 | Todd L Koppa, CRNA 700 S Park St, Madison, WI 53715-1830 Ph: (608) 251-6100 |
Douglas J Konkol, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 700 S Park St, St Marys Hospital Dean Medical Center, Madison, WI 53715 Phone: 608-258-6975 Fax: 608-258-5222 | |
Jennifer J Schildt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-8100 | |
Alyssa Ct Tesar, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 700 S Park St, Madison, WI 53715 Phone: 608-251-6100 | |
Rebecca Ann Konkol, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-8100 Fax: 608-263-0575 | |
Kelly K Sinutko, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 S Park St, Madison, WI 53715 Phone: 608-251-6100 Fax: 608-258-5222 | |
Leila S Mclawhorn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-8100 | |
Christopher P Nelson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 S Park St, Madison, WI 53715 Phone: 608-251-6100 Fax: 608-258-5222 |