Jesyca R Haines, CRNA | |
1601 Sioux Valley Dr, Luverne, MN 56156-4500 | |
(507) 283-4476 | |
Not Available |
Full Name | Jesyca R Haines |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 12 Years |
Location | 1601 Sioux Valley Dr, Luverne, Minnesota |
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 |
---|---|---|---|
1902166259 | NPI | - | NPPES |
46022474348 | Medicaid | NE | |
1902166259 | Other | WELLMARK BCBS SD | |
1902166259 | Medicaid | MN | |
P01103855 | Other | SD | RAILROAD MEDICARE |
1902166259 | Other | BCBS MN | |
1902166259 | Other | DAKOTACARE | |
1902166259 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | CR000789 (South Dakota) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | D163533 (Iowa) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fisher Medical Consulting Pc | 7911314968 | 2 |
Entity Name | Siouxland Anesthesiology Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669496337 PECOS PAC ID: 2668453069 Enrollment ID: O20040529000159 |
Entity Name | Fisher Medical Consulting Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790378883 PECOS PAC ID: 7911314968 Enrollment ID: O20210318002142 |
Entity Name | Rcsd Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245815893 PECOS PAC ID: 2264840974 Enrollment ID: O20210419001807 |
Mailing Address | Practice Location Address |
---|---|
Jesyca R Haines, CRNA Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Jesyca R Haines, CRNA 1601 Sioux Valley Dr, Luverne, MN 56156-4500 Ph: (507) 283-4476 |
Mrs. Julie Ann Sherman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 N Kniss Ave, Luverne, MN 56156 Phone: 507-283-2321 | |
David L Knips, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1600 N. Kniss Ave., Luverne, MN 56156 Phone: 507-283-2321 |