Jon Larson, CRNA | |
800 W 9th St, Jasper, IN 47546-2514 | |
(812) 996-2345 | |
(812) 996-2345 |
Full Name | Jon Larson |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 35 Years |
Location | 800 W 9th St, Jasper, Indiana |
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 |
---|---|---|---|
1821152976 | NPI | - | NPPES |
99001630 | Other | IN | INDIANA LICENSE |
000000185017 | Other | IN | ANTHEM BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 99001630 (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital And Health Care Center | Jasper, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Little Company Of Mary Hospital Of Indiana Inc | 4587578042 | 154 |
Ivory Coast Anesthesia Management Llc | 4880039676 | 17 |
Entity Name | Little Company Of Mary Hospital Of Indiana Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598058414 PECOS PAC ID: 4587578042 Enrollment ID: O20040601001566 |
Entity Name | Ivory Coast Anesthesia Management Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083484000 PECOS PAC ID: 4880039676 Enrollment ID: O20240304000400 |
Mailing Address | Practice Location Address |
---|---|
Jon Larson, CRNA 800 W 9th St, Jasper, IN 47546-2514 Ph: (812) 996-0643 | Jon Larson, CRNA 800 W 9th St, Jasper, IN 47546-2514 Ph: (812) 996-2345 |
Mrs. Meghan Elizabeth Buchta, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 W 9th St, Jasper, IN 47546 Phone: 812-996-2345 | |
Lori Leeds, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 W 9th St, Jasper, IN 47546 Phone: 812-996-2345 | |
Adam Keith Thomas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 W 9th St, Jasper, IN 47546 Phone: 812-996-2345 | |
Angela Joy Weinzapfel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 W 13th St, Suite 100, Jasper, IN 47546 Phone: 812-483-2228 | |
Stephanie Flick, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 W 9th St, Jasper, IN 47546 Phone: 812-482-0643 Fax: 812-482-0214 | |
Claire E Edwards, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 W 9th St, Jasper, IN 47546 Phone: 812-996-2345 | |
Elizabeth M Head, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 W 9th St, Jasper, IN 47546 Phone: 812-482-2345 |