Bradley Joseph Blakey, CRNA | |
201 S 14th St, Herrin, IL 62948-3631 | |
(618) 942-2171 | |
(618) 351-4919 |
Full Name | Bradley Joseph Blakey |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 22 Years |
Location | 201 S 14th St, Herrin, 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 |
---|---|---|---|
1285621151 | NPI | - | NPPES |
214881 | Other | IL | GROUP PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 209004624 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
Harrisburg Medical Center | Harrisburg, IL | Hospital |
St Joseph Memorial Hospital | Murphysboro, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northstar Anesthesia Of Illinois, Llc | 4688893878 | 259 |
Entity Name | Southern Illinois Medical Services Nfp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
Entity Name | Northstar Anesthesia Of Illinois, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962822395 PECOS PAC ID: 4688893878 Enrollment ID: O20140922000405 |
Mailing Address | Practice Location Address |
---|---|
Bradley Joseph Blakey, CRNA 405 W Jackson Street, Sih Medical Group Anesthesiology, Carbondale, IL 62901 Ph: (618) 457-5200 | Bradley Joseph Blakey, CRNA 201 S 14th St, Herrin, IL 62948-3631 Ph: (618) 942-2171 |
Steve Allen Rhyne, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 201 S 14th Street, Sih Medical Group Anesthesiology, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-351-4919 | |
Joan K. Schullian, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 510 Lincoln Dr, Herrin, IL 62948 Phone: 618-457-5111 Fax: 618-457-6560 | |
Linda Sharpless, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 | |
Mark Gregory Busby, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-351-4919 |