Dr Nathan Mitchell Carroll, DNP, CRNA | |
1000 N Allen St, Robinson, IL 62454-1114 | |
(618) 544-3131 | |
Not Available |
Full Name | Dr Nathan Mitchell Carroll |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1000 N Allen St, Robinson, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124752779 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 209025391 (Illinois) | Primary |
Entity Name | Crawford Hospital District |
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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 |
---|---|
Dr Nathan Mitchell Carroll, DNP, CRNA 152 Edwards St Apt A, Glen Carbon, IL 62034-1132 Ph: (618) 535-5194 | Dr Nathan Mitchell Carroll, DNP, CRNA 1000 N Allen St, Robinson, IL 62454-1114 Ph: (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 | |
Carol J Bergbower, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 N Allen St, Robinson, IL 62454 Phone: 618-544-3131 Fax: 618-546-2614 | |
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 |