Joseph Specker Iv, CRNA | |
3333 W Deyoung St, Marion, IL 62959-5884 | |
(228) 861-1192 | |
(618) 997-1122 |
Full Name | Joseph Specker Iv |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 9 Years |
Location | 3333 W Deyoung St, Marion, Illinois |
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 |
---|---|---|---|
1255706818 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 209013614 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
St Joseph Memorial Hospital | Murphysboro, IL | Hospital |
Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northstar Anesthesia Of Illinois, Llc | 4688893878 | 259 |
Entity Name | Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851390132 PECOS PAC ID: 5294649372 Enrollment ID: O20031113000382 |
Entity Name | Salem Township Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295739548 PECOS PAC ID: 0840195277 Enrollment ID: O20031126000688 |
Entity Name | Sparta Community Hospital D/b/a Quality Healthcare Clinics |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114984226 PECOS PAC ID: 6709870462 Enrollment ID: O20040414000594 |
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 | Southern Illinois Medical Services Nfp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
Entity Name | Sparta Community Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1548216476 PECOS PAC ID: 3971408295 Enrollment ID: O20071002000435 |
Entity Name | Northstar Anesthesia Of Illinois, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962822395 PECOS PAC ID: 4688893878 Enrollment ID: O20140922000405 |
Mailing Address | Practice Location Address |
---|---|
Joseph Specker Iv, CRNA 1616 W Main St Ste 508, Marion, IL 62959-1146 Ph: (228) 861-1192 | Joseph Specker Iv, CRNA 3333 W Deyoung St, Marion, IL 62959-5884 Ph: (228) 861-1192 |
David I Blue, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3333 W Deyoung St, Marion, IL 62959 Phone: 618-998-7000 | |
Mr. George E Wiggins, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 12266 Deer Run Rd, Marion, IL 62959 Phone: 618-964-1223 | |
Jason L Vallette, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3333 W Deyoung St, Marion, IL 62959 Phone: 660-826-5960 Fax: 660-826-4852 | |
Ms. Karen J. Harbal, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3003 Civic Circle Blvd, Marion, IL 62959 Phone: 618-993-1112 Fax: 618-993-1113 | |
Mr. Timothy Lee Ford, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311 | |
Mr. Christopher R Whitley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 906 E Gregory Lane, Marion, IL 62959 Phone: 618-993-5327 |