Lisa Russell, CRNA | |
2200 Fort Jesse Rd, Suite 240, Normal, IL 61761-6286 | |
(309) 268-9300 | |
(309) 268-0575 |
Full Name | Lisa Russell |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 34 Years |
Location | 2200 Fort Jesse Rd, Normal, 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 |
---|---|---|---|
1881672582 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Pain Services Llc | 6507930526 | 22 |
Entity Name | Midwest Anesthesia Consultants, S.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790963114 PECOS PAC ID: 1951487172 Enrollment ID: O20080327000424 |
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 | Prairieland Outpatient Diagnostic Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700252228 PECOS PAC ID: 1456302108 Enrollment ID: O20160303001253 |
Entity Name | Tcom Specialty Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144712563 PECOS PAC ID: 8527318831 Enrollment ID: O20180907001266 |
Mailing Address | Practice Location Address |
---|---|
Lisa Russell, CRNA 2200 Fort Jesse Rd, Suite 240, Normal, IL 61761-6286 Ph: (309) 268-9300 | Lisa Russell, CRNA 2200 Fort Jesse Rd, Suite 240, Normal, IL 61761-6286 Ph: (309) 268-9300 |
Ann Schoen, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1304 Franklin Ave, Normal, IL 61761 Phone: 309-454-1400 | |
Leah Dean, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, Normal, IL 61761 Phone: 309-268-5867 | |
Anthony Griffin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, Normal, IL 61761 Phone: 309-268-5867 | |
Anthony Cienfuegos, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, Normal, IL 61761 Phone: 309-268-5867 | |
Mr. Dodi Suhari, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1304 Franklin Ave, Normal, IL 61761 Phone: 309-454-1400 | |
Verna L Auge, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1302 Franklin Ave Ste 1000, Normal, IL 61761 Phone: 309-268-3400 | |
Marcia Robinson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1304 Franklin Ave, Normal, IL 61761 Phone: 309-454-1400 |