David L Stittsworth, CRNA in Mount Vernon, IL - Medicare Certified Registered Nurse Anesthetist (crna)

David L Stittsworth, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mount Vernon, Illinois. He went to Medical College Of Wisconsin and graduated in 1984 and has 40 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Aurora Medical Group, Inc. and his current practice location is 17713 E Shadow Lake Rd, Mount Vernon, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 244-2336.

David L Stittsworth is licensed to practice in Illinois (license number 209000982) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689636540.

Contact Information

	David L Stittsworth, CRNA
	17713 E Shadow Lake Rd, Mount Vernon, IL 62864-8136
	(618) 244-2336
	(618) 244-1993

Map and Direction

Provider's Profile

Full Name	David L Stittsworth
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	40 Years
Location	17713 E Shadow Lake Rd, Mount Vernon, 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.

Medical Education and Training:

David L Stittsworth attended and graduated from Medical College Of Wisconsin in 1984

NPI Data:

NPI Number: 1689636540
Provider Enumeration Date: 04/05/2006
Last Update Date: 12/08/2021

Medicare PECOS Information:

PECOS PAC ID: 4789677576
Enrollment ID: I20040519000278

Medical Identifiers

Medical identifiers for David L Stittsworth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689636540	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	209000982 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Aurora Medical Center Kenosha	Kenosha, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Aurora Medical Group, Inc.	6709794258	3269

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. David L Stittsworth allows following entities to bill medicare on his behalf.

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David L Stittsworth is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
David L Stittsworth, CRNA 17713 E Shadow Lake Rd, Mount Vernon, IL 62864-8136 Ph: (618) 244-2336	David L Stittsworth, CRNA 17713 E Shadow Lake Rd, Mount Vernon, IL 62864-8136 Ph: (618) 244-2336

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Mount Vernon, IL

Jamie Josephine Compton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2 Good Samaritan Way Ste 205, Mount Vernon, IL 62864 Phone: 161-889-9386
Jonathan L Sorenson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2 Good Samaritan Way, Suite 205, Mount Vernon, IL 62864 Phone: 618-241-1108 Fax: 618-241-3805
Jeanette Ilene Ellis, NURSE ANESTHETIST Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2 Good Samaritan Way Ste 205, Mount Vernon, IL 62864 Phone: 618-899-3869 Fax: 618-899-3558
Mr. Richard Lawrence Scott Iii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8 Doctors Park Rd, Mount Vernon, IL 62864 Phone: 314-722-6713
David Peter Rakey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1011 Wilshire Dr, Mount Vernon, IL 62864 Phone: 618-242-4150 Fax: 618-244-1696
Vincent Coty Compton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8 Doctors Park Rd, Mount Vernon, IL 62864 Phone: 618-244-5500
Elizabeth Eggemeyer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2 Good Samaritan Way, Ste 205, Mount Vernon, IL 62864 Phone: 618-899-3869 Fax: 618-899-3558

David L Stittsworth, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Mount Vernon, IL