Landon Mouritsen, | |
100 E Le Fevre Rd, Sterling, IL 61081-1278 | |
(815) 625-0400 | |
Not Available |
Full Name | Landon Mouritsen |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 7 Years |
Location | 100 E Le Fevre Rd, Sterling, 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 |
---|---|---|---|
1720592595 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 041.458698 (Illinois) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 950001442 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Alphonsus Professional Medical Services Llc | 7214849751 | 64 |
Entity Name | St Alphonsus Professional Medical Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386677524 PECOS PAC ID: 7214849751 Enrollment ID: O20040205001184 |
Entity Name | Anesthesia Consulting Partners Idaho Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568241362 PECOS PAC ID: 5092164806 Enrollment ID: O20231205002846 |
Mailing Address | Practice Location Address |
---|---|
Landon Mouritsen, 8 Alpen Strasse, Latrobe, PA 15650-3429 Ph: () - | Landon Mouritsen, 100 E Le Fevre Rd, Sterling, IL 61081-1278 Ph: (815) 625-0400 |
Dennis Kyarsgaard, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 E. Lefevre Road, Sterling, IL 61081 Phone: 815-625-0400 Fax: 815-625-2747 | |
Daniel J Reimschiissel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 E Lefevre Rd, Sterling, IL 61081 Phone: 815-625-0400 Fax: 815-626-2896 | |
Tyler J Thompson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 E Lefevre Rd, Sterling, IL 61081 Phone: 815-625-0400 Fax: 815-625-2747 | |
Eric Thueson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 E Lefevre Rd, Sterling, IL 61081 Phone: 815-625-0400 Fax: 815-625-2747 | |
Roger Arquilla, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 E Lefevre Road, Sterling, IL 61081 Phone: 815-625-0400 Fax: 815-625-2747 | |
Laverle Kyarsgaard, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 E. Lefevre Road, Sterling, IL 61081 Phone: 815-625-0400 Fax: 815-625-2747 | |
Jesse Chiu, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 E Le Fevre Rd, Sterling, IL 61081 Phone: 815-625-0400 |