Jessica Paulin, CRNA | |
2200 State St, Lawrenceville, IL 62439-1852 | |
(618) 943-8517 | |
Not Available |
Full Name | Jessica Paulin |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2200 State St, Lawrenceville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194148213 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 28171798A (Indiana) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 28171798A (Indiana) | Primary |
Entity Name | Daviess County Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619154820 PECOS PAC ID: 1557271665 Enrollment ID: O20040412001435 |
Entity Name | Putnam County Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578608188 PECOS PAC ID: 1951396605 Enrollment ID: O20040420000945 |
Entity Name | Daviess County Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124231493 PECOS PAC ID: 1557271665 Enrollment ID: O20100420000663 |
Entity Name | Unified Anesthesia Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093192882 PECOS PAC ID: 8628376068 Enrollment ID: O20160418001990 |
Entity Name | Iceland Anesthesia Management Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912578667 PECOS PAC ID: 7618372996 Enrollment ID: O20210825000860 |
Mailing Address | Practice Location Address |
---|---|
Jessica Paulin, CRNA 2200 State St, Lawrenceville, IL 62439-1852 Ph: (618) 943-8517 | Jessica Paulin, CRNA 2200 State St, Lawrenceville, IL 62439-1852 Ph: (618) 943-8517 |
Mark E Kennedy, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2200 State St, Lawrenceville, IL 62439 Phone: 618-943-1000 |