| Amanda M Berger, CRNA | |
|
350 N Wall St, Dept Of Anesthesia, Kankakee, IL 60901-2901 | |
| (815) 933-1671 | |
| Not Available |
| Full Name | Amanda M Berger |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 11 Years |
| Location | 350 N Wall St, Kankakee, Illinois |
| 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 |
|---|---|---|---|
| 1750704797 | NPI | - | NPPES |
| 93260 | Other | IL | AANA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 041.368295 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209.011212 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Riverside Medical Center | Kankakee, IL | Hospital |
| Presence St Marys Hospital | Kankakee, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| American Anesthesiology Associates Of Illinois, S.c. | 3971498924 | 90 |
| Novus Illinois Service Corporation | 6901293786 | 34 |
| Entity Name | American Anesthesiology Associates Of Illinois, S.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962512335 PECOS PAC ID: 3971498924 Enrollment ID: O20040218000526 |
| Entity Name | North American Partners In Anesthesia Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699032524 PECOS PAC ID: 1052576519 Enrollment ID: O20120706000534 |
| Entity Name | Novus Illinois Service Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295491744 PECOS PAC ID: 6901293786 Enrollment ID: O20220426000454 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda M Berger, CRNA 68 S Service Rd, Suite 350, Melville, NY 11747-2354 Ph: (516) 945-3000 | Amanda M Berger, CRNA 350 N Wall St, Dept Of Anesthesia, Kankakee, IL 60901-2901 Ph: (815) 933-1671 |
Steven G Schaeffer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 800-444-6110 | |
Julie L Vanasten, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 | |
Mr. Timothy William Kane, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Dept Of Anesthesia, Kankakee, IL 60901 Phone: 815-933-1671 | |
Estela Menghamal Aleman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 | |
Susan Joy Aardema-coughlin, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-937-2375 |