Jeremiah Lee Martin, CRNA | |
1418 College Dr, Mount Carmel, IL 62863-2638 | |
(618) 262-8621 | |
Not Available |
Full Name | Jeremiah Lee Martin |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 16 Years |
Location | 1418 College Dr, Mount Carmel, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720228851 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 209007481 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wabash General Hospital 1 | Mount carmel, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wabash General Hospital District | 8022908185 | 49 |
Entity Name | Wabash General Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295834208 PECOS PAC ID: 8022908185 Enrollment ID: O20040319001265 |
Mailing Address | Practice Location Address |
---|---|
Jeremiah Lee Martin, CRNA 323 E 5th St, Mount Carmel, IL 62863-2123 Ph: (618) 450-2480 | Jeremiah Lee Martin, CRNA 1418 College Dr, Mount Carmel, IL 62863-2638 Ph: (618) 262-8621 |
Christopher Slane, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1418 College Dr, Mount Carmel, IL 62863 Phone: 618-262-8621 | |
Mr. Casey Joe Griffith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1418 College Dr, Mount Carmel, IL 62863 Phone: 618-263-6300 | |
Dr. Kyle Everett Smith, DNP-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1418 College Dr, Mount Carmel, IL 62863 Phone: 618-262-8621 |