Jace P Corray, DNAP | |
3301 Broadway St, Quincy, IL 62301-3713 | |
(217) 222-6550 | |
Not Available |
Full Name | Jace P Corray |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 3301 Broadway St, Quincy, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518694074 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 209025720 (Illinois) | Primary |
Entity Name | Quincy Physicians & Surgeons Clinic, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548234198 PECOS PAC ID: 0749192375 Enrollment ID: O20031103000445 |
Mailing Address | Practice Location Address |
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Jace P Corray, DNAP 1025 Maine St, Quincy, IL 62301-4096 Ph: (217) 222-6550 | Jace P Corray, DNAP 3301 Broadway St, Quincy, IL 62301-3713 Ph: (217) 222-6550 |
Kaleigh C Kuhlman, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3301 Broadway St, Quincy, IL 62301 Phone: 217-222-6220 | |
Ryan Teheng, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3301 Broadway St, Quincy, IL 62301 Phone: 217-277-4090 | |
Tamara Christene Mcdonald, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1005 Broadway, Quincy, IL 62301 Phone: 217-223-8400 Fax: 217-223-9552 | |
Hannah Porter Wolinski, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-1200 | |
Brian Kartchner Farrer, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-8400 | |
Mary Cooper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3301 Broadway St, Quincy, IL 62301 Phone: 217-277-4090 Fax: 217-277-6778 | |
David Alva Thompson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1005 Broadway, Quincy, IL 62301 Phone: 217-223-8400 Fax: 217-223-9552 |