Jennifer Bauer, CRNA | |
6800 State Route 162, Maryville, IL 62062-8500 | |
(469) 437-3564 | |
(469) 825-6903 |
Full Name | Jennifer Bauer |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 21 Years |
Location | 6800 State Route 162, Maryville, 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 |
---|---|---|---|
1295726065 | NPI | - | NPPES |
1295726065 | Medicaid | IL | |
918810607 | Medicaid | MO | |
P00298433 | Other | MO | RR MEDICARE |
P01410773 | Other | IL | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 138106 (Missouri) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 209006631 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Anderson Hospital | Maryville, IL | Hospital |
Sarah Bush Lincoln Health Center | Mattoon, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Effingham Surgical Partners Llc | 3072408533 | 5 |
Sarah Bush Lincoln Health Center | 5092614867 | 327 |
Millennium Anesthesiology Consultants, Llc | 9133250475 | 22 |
Entity Name | Anesthesia Associates Of Belleville |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932141561 PECOS PAC ID: 5890690812 Enrollment ID: O20031203000567 |
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 | Jersey Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780609925 PECOS PAC ID: 4587650445 Enrollment ID: O20040424000140 |
Entity Name | Millennium Anesthesiology Consultants, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710218094 PECOS PAC ID: 9133250475 Enrollment ID: O20100630000117 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Bauer, CRNA 6800 State Route 162, Maryville, IL 62062-8500 Ph: (469) 437-3564 | Jennifer Bauer, CRNA 6800 State Route 162, Maryville, IL 62062-8500 Ph: (469) 437-3564 |
Michael Petru, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6810 State Route 162, Suite 215, Maryville, IL 62062 Phone: 618-288-5711 | |
Michael Southwick, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6810 State Route 162, Ste 215, Maryville, IL 62062 Phone: 618-288-5711 | |
Ms. Connie Ann Dumm, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-288-5711 | |
Dr. Jared T Holton, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 800-281-3903 | |
Joseph Hines, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6810 State Route 162, Ste 215, Maryville, IL 62062 Phone: 618-288-5711 | |
Mark Silvey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6810 State Route 162, Suite 215, Maryville, IL 62062 Phone: 618-288-5711 | |
Sherri Blaha, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6810 State Route 162, Suite 215, Maryville, IL 62062 Phone: 618-288-5711 |