Caitlyn Coburn, CRNA | |
350 N Wall St, Kankakee, IL 60901-2901 | |
(815) 933-1671 | |
Not Available |
Full Name | Caitlyn Coburn |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 3 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 |
---|---|---|---|
1891376265 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 041.484462 (Illinois) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 135212 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Willamette Valley Medical Center | Mcminnville, OR | Hospital |
Riverside Medical Center | Kankakee, IL | Hospital |
Presence Saint Joseph Hospital - Chicago | Chicago, IL | Hospital |
Alexian Brothers Medical Center 1 | Elk grove village, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northstar Anesthesia Of Illinois, Llc | 4688893878 | 259 |
Novus Illinois Service Corporation | 6901293786 | 34 |
Anesthesia Associates Northwest Llc | 7618908484 | 86 |
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 | 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 |
Entity Name | Clinical Colleagues Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316399967 PECOS PAC ID: 8729011333 Enrollment ID: O20161006000618 |
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 |
---|---|
Caitlyn Coburn, CRNA 1605 E Central Rd Unit 121c, Arlington Heights, IL 60005-3339 Ph: (603) 557-3895 | Caitlyn Coburn, CRNA 350 N Wall St, 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 |