Joan A Potter, CRNA | |
303 Nw 11th St, Fairfield, IL 62837-1203 | |
(618) 842-2611 | |
Not Available |
Full Name | Joan A Potter |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 31 Years |
Location | 303 Nw 11th St, Fairfield, 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 |
---|---|---|---|
1841380508 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Salem Township Hospital | Salem, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Salem Township Hospital | 0840195277 | 29 |
Entity Name | Salem Township Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295739548 PECOS PAC ID: 0840195277 Enrollment ID: O20031126000688 |
Entity Name | Good Samaritan Regional Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487758801 PECOS PAC ID: 1658272059 Enrollment ID: O20040119000325 |
Entity Name | St Marys Hospital Centralia Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770687196 PECOS PAC ID: 6709788920 Enrollment ID: O20040127000118 |
Entity Name | Marion Anesthesia Company Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790721579 PECOS PAC ID: 3577522010 Enrollment ID: O20041008000899 |
Entity Name | Ambulatory Surgery Center Of Centralia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265495824 PECOS PAC ID: 1254343007 Enrollment ID: O20060620000082 |
Entity Name | Anesthesia Associates Of Southern Illinois Surgery Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043757487 PECOS PAC ID: 0648555433 Enrollment ID: O20170317000152 |
Entity Name | County Of Clay |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1184655136 PECOS PAC ID: 0042101982 Enrollment ID: O20180801002178 |
Mailing Address | Practice Location Address |
---|---|
Joan A Potter, CRNA Rr 3 Box 658, Fairfield, IL 62837-9568 Ph: (618) 847-7627 | Joan A Potter, CRNA 303 Nw 11th St, Fairfield, IL 62837-1203 Ph: (618) 842-2611 |
Mason Spitzner, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 303 Nw 11th St, Fairfield, IL 62837 Phone: 618-842-2611 | |
Linda Sue Jennette, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 303 Nw 11th St, Fairfield, IL 62837 Phone: 618-842-2611 |