| Joseph Liebenrood, CRNA | |
|
35 Albany Rd Ste C, Carbondale, IL 62903-7647 | |
| (618) 457-5111 | |
| Not Available |
| Full Name | Joseph Liebenrood |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 35 Albany Rd Ste C, Carbondale, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356525588 | NPI | - | NPPES |
| 2006023280 | Other | MO | RN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209007056 (Illinois) | Primary |
| Entity Name | Northstar Anesthesia Of Kentucky, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386938900 PECOS PAC ID: 8628248069 Enrollment ID: O20110823000443 |
| Entity Name | Tas Of Kentucky Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255735346 PECOS PAC ID: 3274856232 Enrollment ID: O20141223000973 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Liebenrood, CRNA 35 Albany Rd Ste C, Carbondale, IL 62903-7647 Ph: (618) 457-5111 | Joseph Liebenrood, CRNA 35 Albany Rd Ste C, Carbondale, IL 62903-7647 Ph: (618) 457-5111 |
Mr. Dan Edward Miller, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 | |
Nathaniel C Crum, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 405 W Main St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0449 | |
Mr. Shawn Wayne Pyle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0449 | |
Justin D Craft, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 | |
Megan E Sims, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 | |
Britley Ann White, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Sih Medical Group Anesthesiology, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0529 | |
Ms. Christine Marie Dakin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-549-5128 |