Mary Cooper, CRNA | |
3301 Broadway St, Quincy, IL 62301-3713 | |
(217) 277-4090 | |
(217) 277-6778 |
Full Name | Mary Cooper |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 7 Years |
Location | 3301 Broadway St, Quincy, 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 |
---|---|---|---|
1154846707 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 280593 (North Carolina) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 209024241 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Quincy Physicians And Surgeons Clinic, Pllc | 0749192375 | 199 |
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 |
Mailing Address | Practice Location Address |
---|---|
Mary Cooper, CRNA 3301 Broadway St, Quincy, IL 62301-3713 Ph: (217) 277-4090 | Mary Cooper, CRNA 3301 Broadway St, Quincy, IL 62301-3713 Ph: (217) 277-4090 |
Kaleigh C Kuhlman, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3301 Broadway St, Quincy, IL 62301 Phone: 217-222-6220 | |
Ryan Teheng, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3301 Broadway St, Quincy, IL 62301 Phone: 217-277-4090 | |
Tamara Christene Mcdonald, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1005 Broadway, Quincy, IL 62301 Phone: 217-223-8400 Fax: 217-223-9552 | |
Hannah Porter Wolinski, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-1200 | |
Brian Kartchner Farrer, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-8400 | |
David Alva Thompson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1005 Broadway, Quincy, IL 62301 Phone: 217-223-8400 Fax: 217-223-9552 |