| Tom R Pankratz, CRNA | |
|
707 14th St, Baraboo, WI 53913-1539 | |
| (608) 356-1400 | |
| Not Available |
| Full Name | Tom R Pankratz |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 707 14th St, Baraboo, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699757492 | NPI | - | NPPES |
| 1009390 | Other | WI | PHYS PLUS PROV # |
| 551896 | Other | WI | DEANCARE PROV # |
| 388407992 | Other | WI | TRICARE PROV # |
| 430054481 | Other | WI | RR MEDICARE PROV # |
| 391023846 | Other | WI | COMMERCIAL INS PROV # |
| 43322800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 042315 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tom R Pankratz, CRNA 707 14th St, Baraboo, WI 53913-1539 Ph: (608) 356-1400 | Tom R Pankratz, CRNA 707 14th St, Baraboo, WI 53913-1539 Ph: (608) 356-1400 |
Annette L May, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 707 14th St, Baraboo, WI 53913 Phone: 608-356-1400 | |
Alan R Garven, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 707 14th St, Baraboo, WI 53913 Phone: 608-356-1400 | |
Daniel R Langan Ii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 707 14th St, Baraboo, WI 53913 Phone: 608-356-1400 Fax: 608-356-1367 |