Dr Andy John Tracy, CRNA | |
2650 Ridge Ave, Evanston, IL 60201-1700 | |
(847) 570-2760 | |
(847) 570-2921 |
Full Name | Dr Andy John Tracy |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 17 Years |
Location | 2650 Ridge Ave, Evanston, Illinois |
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 |
---|---|---|---|
1295923985 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 209.006942 (Illinois) | Primary |
163WC0200X | Registered Nurse - Critical Care Medicine | RN 041-330738 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Northeastern Health System | Tahlequah, OK | Hospital |
Ascension St John Broken Arrow | Broken arrow, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northeastern Health System | 1456255025 | 94 |
Integral Anesthesia Llc | 9638461973 | 39 |
Entity Name | Northeastern Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457574170 PECOS PAC ID: 1456255025 Enrollment ID: O20031125000250 |
Entity Name | Anesthesia Associates Of Oklahoma Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770891475 PECOS PAC ID: 7113100470 Enrollment ID: O20110323000735 |
Entity Name | Integral Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881041515 PECOS PAC ID: 9638461973 Enrollment ID: O20160707001409 |
Entity Name | Emergenchealth Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20190618003098 |
Mailing Address | Practice Location Address |
---|---|
Dr Andy John Tracy, CRNA 2650 Ridge Ave, Evanston, IL 60201-1700 Ph: (847) 570-2040 | Dr Andy John Tracy, CRNA 2650 Ridge Ave, Evanston, IL 60201-1700 Ph: (847) 570-2760 |
Jettero Fushi, APN-CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2760 | |
Cristi L. Franklin, APN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Anesthesiology Room 3905, Evanston, IL 60201 Phone: 847-570-2760 Fax: 847-570-2921 | |
Karen Hamlett-kleinhenz, APN-CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Anesthesiology Room 3905, Evanston, IL 60201 Phone: 847-570-2921 Fax: 847-570-2921 | |
Aladin Bihorac, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2000 | |
Matthew Joseph Sadlowsky, APN-CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave., Department Of Anesthesia, Evanston, IL 60201 Phone: 847-570-2760 Fax: 847-570-2921 | |
Shelby Matillano, APN-CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-982-3172 | |
Trevor Martin Rogers, DNP CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2000 |