Kraig A Mitchell, CRNA | |
530 Park Ave E Ste 201, Princeton, IL 61356-2598 | |
(815) 875-2811 | |
Not Available |
Full Name | Kraig A Mitchell |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 29 Years |
Location | 530 Park Ave E Ste 201, Princeton, 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 |
---|---|---|---|
1760467773 | NPI | - | NPPES |
209003881 | Medicaid | IL | |
046210 | Other | CRNA RECERTIFICATION CARD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 142331-030 (Wisconsin) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 209-003881 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Perry Memorial Hospital | Princeton, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Osf Multi-specialty Group | 3678889789 | 1552 |
Entity Name | Associated Anesthesiologists Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558306480 PECOS PAC ID: 6305744129 Enrollment ID: O20031230000544 |
Entity Name | Guardian Anesthesia Associates, S.c |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326097221 PECOS PAC ID: 3870494347 Enrollment ID: O20040116000932 |
Entity Name | Allied Anesthesia Associates P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750330742 PECOS PAC ID: 0042118069 Enrollment ID: O20040203000134 |
Entity Name | Mcdonough County Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871704874 PECOS PAC ID: 0446140180 Enrollment ID: O20040317000808 |
Entity Name | Anesthesia Consultants Of Morris, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952352171 PECOS PAC ID: 6103884150 Enrollment ID: O20041222000531 |
Entity Name | Osf Healthcare System |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1811016124 PECOS PAC ID: 4284541806 Enrollment ID: O20070504000101 |
Entity Name | Anesthesia Pain Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790075489 PECOS PAC ID: 6507930526 Enrollment ID: O20080808000180 |
Entity Name | Osf Multi-specialty Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
---|---|
Kraig A Mitchell, CRNA 530 Park Ave E, Princeton, IL 61356-2598 Ph: (815) 780-4040 | Kraig A Mitchell, CRNA 530 Park Ave E Ste 201, Princeton, IL 61356-2598 Ph: (815) 875-2811 |
Mr. Miles Todd Salsman, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 Park Ave East, Princeton, IL 61356 Phone: 815-875-2811 |