Carol J Bergbower, CRNA | |
1000 N Allen St, Robinson, IL 62454-1114 | |
(618) 544-3131 | |
(618) 546-2614 |
Full Name | Carol J Bergbower |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 27 Years |
Location | 1000 N Allen St, Robinson, 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 |
---|---|---|---|
1346281763 | NPI | - | NPPES |
P00042146 | Other | IL | RR MEDICARE PIN |
041212985 | Other | IL | STATE LICENSE |
200009980 | Other | IL | IRS TAX ID |
DA2630 | Other | IL | RR MEDICARE GROUP |
01732004 | Other | IL | BC/BS |
020354300 | Other | IL | BLACK LUNG |
540347 | Other | IL | HEALTHLINK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 041212985 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Crawford Memorial Hospital | Robinson, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Crawford Hospital District | 7719898071 | 54 |
Entity Name | Crawford Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861423287 PECOS PAC ID: 7719898071 Enrollment ID: O20040205000950 |
Mailing Address | Practice Location Address |
---|---|
Carol J Bergbower, CRNA 1000 N Allen St, Robinson, IL 62454-1114 Ph: (618) 544-3131 | Carol J Bergbower, CRNA 1000 N Allen St, Robinson, IL 62454-1114 Ph: (618) 544-3131 |
Dr. Nathan Mitchell Carroll, DNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1000 N Allen St, Robinson, IL 62454 Phone: 618-544-3131 | |
Mr. Joseph Grazaitis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 N Allen St, Robinson, IL 62454 Phone: 618-544-3131 Fax: 618-546-2647 | |
Clarence L Pearsall, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 N Allen St, Crawford Memorial Hospital, Robinson, IL 62454 Phone: 618-546-2410 Fax: 618-546-2613 | |
Kyle Hardiman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 N Allen St, Robinson, IL 62454 Phone: 618-544-3131 Fax: 618-546-2630 | |
Kelsey Kay Park, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 N Allen St, Robinson, IL 62454 Phone: 618-544-3131 |