Brent Hitchens, CRNA | |
405 W Jackson St, Carbondale, IL 62901-1462 | |
(618) 549-0721 | |
(618) 529-0449 |
Full Name | Brent Hitchens |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 405 W Jackson St, Carbondale, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992438451 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 209025414 (Illinois) | Primary |
Entity Name | Marion Healthcare Llc |
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Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1821066515 PECOS PAC ID: 0941271597 Enrollment ID: O20040805000633 |
Entity Name | Marion Anesthesia Company Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790721579 PECOS PAC ID: 3577522010 Enrollment ID: O20041008000899 |
Entity Name | Southern Illinois Medical Services Nfp |
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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 |
---|---|
Brent Hitchens, CRNA 2 Good Samaritan Way Ste 205, Mount Vernon, IL 62864-2476 Ph: (618) 899-3869 | Brent Hitchens, CRNA 405 W Jackson St, Carbondale, IL 62901-1462 Ph: (618) 549-0721 |
Mr. Dan Edward Miller, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 | |
Nathaniel C Crum, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 405 W Main St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0449 | |
Mr. Shawn Wayne Pyle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0449 | |
Justin D Craft, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 | |
Megan E Sims, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 | |
Britley Ann White, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Sih Medical Group Anesthesiology, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0529 | |
Ms. Christine Marie Dakin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-549-5128 |