Jennifer A Hagen, CRNA | |
200 E Fairman Ave, Watseka, IL 60970-1644 | |
(815) 432-5041 | |
(815) 432-7821 |
Full Name | Jennifer A Hagen |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 29 Years |
Location | 200 E Fairman Ave, Watseka, 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 |
---|---|---|---|
1881819639 | NPI | - | NPPES |
041-264487 | Other | IL | LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 209-003217 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sarah Bush Lincoln Health Center | Mattoon, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vigilance Anesthesiologists And Pain Specialists Pc | 4284975541 | 5 |
Sarah Bush Lincoln Health Center | 5092614867 | 327 |
Gibson Community Hospital Association | 5092703124 | 100 |
Entity Name | Sarah Bush Lincoln Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669564662 PECOS PAC ID: 5092614867 Enrollment ID: O20031231000478 |
Entity Name | American Anesthesiology Associates Of Illinois, S.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962512335 PECOS PAC ID: 3971498924 Enrollment ID: O20040218000526 |
Entity Name | Gibson Community Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114935681 PECOS PAC ID: 5092703124 Enrollment ID: O20040505001293 |
Entity Name | Gibson Community Hospital Association |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1114935681 PECOS PAC ID: 5092703124 Enrollment ID: O20071116000131 |
Entity Name | North American Partners In Anesthesia Illinois Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699032524 PECOS PAC ID: 1052576519 Enrollment ID: O20120706000534 |
Entity Name | Vigilance Anesthesiologists & Pain Specialists Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013475375 PECOS PAC ID: 4284975541 Enrollment ID: O20190415000971 |
Entity Name | Resource Anesthesiology Associates Of Il Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750347829 PECOS PAC ID: 5698006641 Enrollment ID: O20191007000960 |
Mailing Address | Practice Location Address |
---|---|
Jennifer A Hagen, CRNA 2141 E Blackberry Ct, Watseka, IL 60970-7512 Ph: (815) 432-7778 | Jennifer A Hagen, CRNA 200 E Fairman Ave, Watseka, IL 60970-1644 Ph: (815) 432-5041 |
Peter Joseph Pollachek, A.P.N. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 East Fairman Ave, Second Floor - Specialty Clinic, Watseka, IL 60970 Phone: 708-522-9793 Fax: 855-339-3205 |