Jeannette Ineza, | |
400 Rosalind Redfern Grover Pwy, Edwardsville, IL 62026-0001 | |
(432) 699-0306 | |
Not Available |
Full Name | Jeannette Ineza |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 400 Rosalind Redfern Grover Pwy, Edwardsville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255052254 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 041488084 (Illinois) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 1116055 (Texas) | Primary |
Entity Name | Anesthesia Medical Group Of The Permian Basin, Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669596672 PECOS PAC ID: 6901999176 Enrollment ID: O20070904000322 |
Mailing Address | Practice Location Address |
---|---|
Jeannette Ineza, Po Box 4157, Midland, TX 79704-4157 Ph: (269) 823-2321 | Jeannette Ineza, 400 Rosalind Redfern Grover Pwy, Edwardsville, IL 62026-0001 Ph: (432) 699-0306 |
Nicole Brainin, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 29 South Cherry Hls, Edwardsville, IL 62025 Phone: 630-649-8821 | |
Diana L Schuler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7416 Creek Ridge Ln, Edwardsville, IL 62025 Phone: 618-967-4578 | |
Mrs. Lisa M Bell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Po Box 616, Edwardsville, IL 62025 Phone: 833-749-8324 Fax: 214-301-0649 | |
Aminat Yusuff-akinbo, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Siue Nurse Anesthesia Program, Edwardsville, IL 62026 Phone: 618-650-3283 | |
Elizabeth Hamlin, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Southern Illinois University 6 Hairpin Drive, Edwardsville, IL 62026 Phone: 618-650-3956 |