Kaitlyn E Busch, CRNA | |
2200 E Washington St, Bloomington, IL 61701-4364 | |
(309) 662-3311 | |
Not Available |
Full Name | Kaitlyn E Busch |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2200 E Washington St, Bloomington, 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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1174394134 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 209027351 (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 |
---|---|
Kaitlyn E Busch, CRNA 3812 Greenridge Dr, Decatur, IL 62526-1828 Ph: (217) 433-7295 | Kaitlyn E Busch, CRNA 2200 E Washington St, Bloomington, IL 61701-4364 Ph: (309) 662-3311 |
Mr. Thomas Eric Laver, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 11 Ann Arbor Ct, Bloomington, IL 61705 Phone: 312-388-4440 | |
Julie R Heisel-wolter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr, Suite Ll 1400, Bloomington, IL 61701 Phone: 309-663-4700 Fax: 309-665-0575 | |
Gregory R Dubois, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr, Ll 1400, Bloomington, IL 61701 Phone: 309-663-4700 Fax: 309-665-0575 | |
Jason Richard Huber, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2022 E Taylor St, Bloomington, IL 61701 Phone: 309-264-4571 | |
Mi H Balgemann, DNP, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2200 E Washington St, Bloomington, IL 61701 Phone: 309-662-3311 | |
Nachelle Richard, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr, Ll1400, Bloomington, IL 61701 Phone: 309-663-4700 Fax: 309-665-0575 |