Linda Sue Jennette, | |
303 Nw 11th St, Fairfield, IL 62837-1206 | |
(618) 842-2611 | |
Not Available |
Full Name | Linda Sue Jennette |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 11 Years |
Location | 303 Nw 11th St, Fairfield, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891110532 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 209011264 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Mary Medical Center | Galesburg, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Quincy Physicians And Surgeons Clinic, Pllc | 0749192375 | 199 |
Osf Multi-specialty Group | 3678889789 | 1552 |
Entity Name | Quincy Physicians & Surgeons Clinic, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548234198 PECOS PAC ID: 0749192375 Enrollment ID: O20031103000445 |
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 | Fairfield Memorial Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649442419 PECOS PAC ID: 5698671741 Enrollment ID: O20041124000368 |
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 |
---|---|
Linda Sue Jennette, 303 Nw 11th St, Fairfield, IL 62837-1203 Ph: (618) 842-2611 | Linda Sue Jennette, 303 Nw 11th St, Fairfield, IL 62837-1206 Ph: (618) 842-2611 |
Mason Spitzner, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 303 Nw 11th St, Fairfield, IL 62837 Phone: 618-842-2611 | |
Joan A Potter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 303 Nw 11th St, Fairfield, IL 62837 Phone: 618-842-2611 |