Amanda Sue Burgesen, | |
1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 | |
(618) 234-2120 | |
(618) 641-5810 |
Full Name | Amanda Sue Burgesen |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 4 Years |
Location | 1 Saint Elizabeth Blvd, O Fallon, 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 |
---|---|---|---|
1568084903 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WC0200X | Registered Nurse - Critical Care Medicine | 041448788 (Illinois) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 209021562 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Barnes-jewish St Peters Hospital | Saint peters, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Midwest Anesthesia Providers Sc | 9830480581 | 143 |
Entity Name | Midwest Anesthesia Providers Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295189082 PECOS PAC ID: 9830480581 Enrollment ID: O20160712001846 |
Mailing Address | Practice Location Address |
---|---|
Amanda Sue Burgesen, 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 Ph: (618) 234-2120 | Amanda Sue Burgesen, 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 Ph: (618) 234-2120 |
Bart S Bowers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Elizabeth Blvd, O Fallon, IL 62269 Phone: 618-234-2120 | |
Jennifer L Cripps, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Elizabeth Blvd, O Fallon, IL 62269 Phone: 618-234-2120 | |
Kristopher Clements, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Elizabeth Blvd, O Fallon, IL 62269 Phone: 618-234-2120 Fax: 618-641-5813 | |
Courtney J Harris, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Elizabeth Blvd, O Fallon, IL 62269 Phone: 618-234-2120 Fax: 618-641-5810 | |
Mrs. Leah Marie Baecht, DNP, CRNA, APRN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Elizabeth Blvd, O Fallon, IL 62269 Phone: 618-234-2120 Fax: 618-222-4636 | |
Angela Michelle Harvey, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1 Saint Elizabeth Blvd, O Fallon, IL 62269 Phone: 618-234-2120 Fax: 618-641-5810 | |
Rachel M Riddle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Elizabeth Blvd, O Fallon, IL 62269 Phone: 618-234-2120 Fax: 628-541-5810 |