Justin Lee Baecht, CRNA | |
1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 | |
(618) 234-2120 | |
(618) 641-5810 |
Full Name | Justin Lee Baecht |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1 Saint Elizabeth Blvd, O Fallon, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1801034491 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 041350805 (Illinois) | Primary |
Entity Name | North American Partners In Anesthesia Illinois Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699032524 PECOS PAC ID: 1052576519 Enrollment ID: O20120706000534 |
Mailing Address | Practice Location Address |
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Justin Lee Baecht, CRNA 211 S 3rd St, Belleville, IL 62220-1915 Ph: (618) 234-2120 | Justin Lee Baecht, CRNA 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 Ph: (618) 234-2120 |
Bart S Bowers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Elizabeth Blvd, O Fallon, IL 62269 Phone: 618-234-2120 | |
Jennifer L Cripps, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Elizabeth Blvd, O Fallon, IL 62269 Phone: 618-234-2120 | |
Kristopher Clements, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Elizabeth Blvd, O Fallon, IL 62269 Phone: 618-234-2120 Fax: 618-641-5813 | |
Courtney J Harris, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Elizabeth Blvd, O Fallon, IL 62269 Phone: 618-234-2120 Fax: 618-641-5810 | |
Mrs. Leah Marie Baecht, DNP, CRNA, APRN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Elizabeth Blvd, O Fallon, IL 62269 Phone: 618-234-2120 Fax: 618-222-4636 | |
Angela Michelle Harvey, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1 Saint Elizabeth Blvd, O Fallon, IL 62269 Phone: 618-234-2120 Fax: 618-641-5810 | |
Rachel M Riddle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Elizabeth Blvd, O Fallon, IL 62269 Phone: 618-234-2120 Fax: 628-541-5810 |