Mary E Koterba, CRNA in Quincy, IL - Medicare Certified Registered Nurse Anesthetist (crna)

Mary E Koterba, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Quincy, Illinois. She graduated from nursing school in 2001 and has 23 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Northstar Anesthesia Of Illinois, Llc and her current practice location is 3301 Broadway St, Quincy, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 222-6550.

Mary E Koterba is licensed to practice in Illinois (license number 209006248) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1699754820.

Contact Information

	Mary E Koterba, CRNA
	3301 Broadway St, Quincy, IL 62301-3713
	(217) 222-6550
	Not Available

Map and Direction

Provider's Profile

Full Name	Mary E Koterba
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	23 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.

Medical Education and Training:

Mary E Koterba graduated from nursing school in 2001

NPI Data:

NPI Number: 1699754820
Provider Enumeration Date: 01/16/2006
Last Update Date: 02/16/2021

Medicare PECOS Information:

PECOS PAC ID: 9739141722
Enrollment ID: I20061227000057

Medical Identifiers

Medical identifiers for Mary E Koterba such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699754820	NPI	-	NPPES
4704351565	Other	MI	MI LICENSE
915820112	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	118799 (Missouri)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	4704351565 (Michigan)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	209006248 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Hospital Of Carbondale	Carbondale, IL	Hospital
Southern Illinois Hospital Services Dba Herrin Hospital	Herrin, IL	Hospital
St Joseph Memorial Hospital	Murphysboro, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northstar Anesthesia Of Illinois, Llc	4688893878	259

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mary E Koterba allows following entities to bill medicare on her behalf.

Entity Name	St Anthony's Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306800602 PECOS PAC ID: 2365341211 Enrollment ID: O20040108000741

Entity Name	North American Partners In Anesthesia Illinois Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699032524 PECOS PAC ID: 1052576519 Enrollment ID: O20120706000534

Entity Name	Northstar Anesthesia Of Illinois, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962822395 PECOS PAC ID: 4688893878 Enrollment ID: O20140922000405

Entity Name	Resource Anesthesiology Associates Of Il Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750347829 PECOS PAC ID: 5698006641 Enrollment ID: O20191007000960

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary E Koterba is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mary E Koterba, CRNA 1025 Maine St, Quincy, IL 62301-4096 Ph: (217) 222-6550	Mary E Koterba, CRNA 3301 Broadway St, Quincy, IL 62301-3713 Ph: (217) 222-6550

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Quincy, IL

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
Mary Cooper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3301 Broadway St, Quincy, IL 62301 Phone: 217-277-4090 Fax: 217-277-6778
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

Mary E Koterba, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Quincy, IL