LAWRENCE K BECK CRNA NPI 1003872052

Nurse Anesthetist, Certified Registered in Janesville, WI

About LAWRENCE BECK

Lawrence Beck is a provider in Janesville, WI with more than 33 years of experience. The NPI number assigned to this provider is 1003872052. The practitioner's primary taxonomy code is Nurse Anesthetist, Certified Registered (367500000X). The provider is registered as an individual and their NPI record was last updated 5 years ago. Lawrence Beck is registered with Medicare and accepts claims assignment.

NPI1003872052 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name LAWRENCE K BECK CRNA
Provider Location Address3400 E RACINE ST JANESVILLE, WI 53546 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address3400 E RACINE ST JANESVILLE, WI 53546 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameOTHER
Graduation Year1985
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-26-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-27-2012 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

LAWRENCE K BECK CRNA
3400 E RACINE ST
JANESVILLE, WI
ZIP 53546
Phone: (608) 373-8000
Fax: (608) 373-8280
Get Directions

Mailing Address

LAWRENCE K BECK CRNA
3400 E RACINE ST
JANESVILLE, WI
ZIP 53546
Phone: (608) 373-8000
Fax: (608) 373-8280

Primary Taxonomy

Taxonomy Code367500000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationNurse Anesthetist, Certified Registered
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.104-033
License StateWI
Taxonomy Description(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Medicare Participation

PECOS PAC ID3274547914
PECOS Enrollment IDI20060201000514
Accepts Medicare Assignment? Yes Additional informationCallout Tooltip"What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.

Hospital Affiliations

Hospital Name CMS Certification Number (CCN)
ST MARYS JANESVILLE HOSPITAL520208

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
1692OTHER (01)WI
038854340MEDICARE PIN (08)WI
097774150MEDICARE PIN (08)WI
R40446MEDICARE UPIN (02)
43306700MEDICAID (05)WI
430019049MEDICARE PIN (08)WI

Map Location


LAWRENCE K BECK CRNA address is 3400 E RACINE ST JANESVILLE, WI 53546

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033517677 JENNIFER SUE CANIK OT
Individual
Occupational Therapist3400 E RACINE ST
JANESVILLE, WI 53546
(608) 373-8000
1225445307 KELLY MCMEANS
Individual
Nurse Anesthetist, Certified Registered3400 E RACINE ST
JANESVILLE, WI 53546
(608) 373-8000
1285867358 SARAH ROBERTS DPT
Individual
Physical Therapist3400 E RACINE ST
JANESVILLE, WI 53546
(608) 373-8822
1356614945 KRISTI K. BURGARD CRNA
Individual
Nurse Anesthetist, Certified Registered3400 E RACINE ST
JANESVILLE, WI 53546
(608) 373-8000
1386687523 PAULA E. GOODE CRNA
Individual
Nurse Anesthetist, Certified Registered3400 E RACINE ST
JANESVILLE, WI 53546
(608) 373-8000
1407124126MS. LISA K. STEWART CRNA
Individual
Nurse Anesthetist, Certified Registered3400 E RACINE ST
JANESVILLE, WI 53546
(608) 374-8000
1477593036 THOMAS R BERENTSEN MD
Individual
Psychiatry & Neurology (Neurology)3400 E RACINE ST
JANESVILLE, WI 53546
(608) 371-8000
1548654676SSM HEALTH CARE OF WISCONSIN INC
Organization
General Acute Care Hospital3400 E RACINE ST
JANESVILLE, WI 53546
(608) 373-8000
1598039166 BRITTANY J LYNE CRNA
Individual
Nurse Anesthetist, Certified Registered3400 E RACINE ST
JANESVILLE, WI 53546
(608) 373-8000
1649312208 ARVYDAS URBONAS M.D
Individual
Internal Medicine3400 E RACINE ST
JANESVILLE, WI 53546
(608) 373-8000
1669404729 DONALD J CAIN III M.D
Individual
Anesthesiology3400 E RACINE ST
JANESVILLE, WI 53546
(608) 373-8000
1689923617 ROBERT A. BISENIUS CRNA
Individual
Nurse Anesthetist, Certified Registered3400 E RACINE ST
JANESVILLE, WI 53546
(608) 373-8000
1699075390 BELINDA J LONG CRNA
Individual
Nurse Anesthetist, Certified Registered3400 E RACINE ST
JANESVILLE, WI 53546
(608) 251-6100
1700041746 ASHLEY J. JENSEN MD
Individual
Anesthesiology3400 E RACINE ST
JANESVILLE, WI 53546
(608) 373-8000
1710023163 GAYLE A ROLLMANN OTR
Individual
Occupational Therapist3400 E RACINE ST
JANESVILLE, WI 53546
(608) 373-8353
1730208075MRS. PATRICIA MARIE SEEMAN PTA
Individual
Physical Therapy Assistant3400 E RACINE ST
JANESVILLE, WI 53546
(608) 373-8352
1750346110 STEPHEN D MOYER CRNA
Individual
Nurse Anesthetist, Certified Registered3400 E RACINE ST
JANESVILLE, WI 53546
(608) 373-8000
1851355663 SANDRA M DARDIS CRNA
Individual
Nurse Anesthetist, Certified Registered3400 E RACINE ST
JANESVILLE, WI 53546
(608) 373-8000
1942259353 SCOTT E MILLER MD
Individual
Anesthesiology3400 E RACINE ST
JANESVILLE, WI 53546
(608) 373-8000
1942333653MRS. LISA POLHEBER COTA
Individual
Occupational Therapy Assistant3400 E RACINE ST
JANESVILLE, WI 53546
(608) 373-8353