Mason Spitzner, CRNA | |
303 Nw 11th St, Fairfield, IL 62837-1206 | |
(618) 842-2611 | |
Not Available |
Full Name | Mason Spitzner |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 303 Nw 11th St, Fairfield, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1164284972 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 209029238 (Illinois) | Primary |
Entity Name | Quincy Physicians & Surgeons Clinic, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548234198 PECOS PAC ID: 0749192375 Enrollment ID: O20031103000445 |
Entity Name | Richland Memorial Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467492124 PECOS PAC ID: 3870565732 Enrollment ID: O20040811000131 |
Entity Name | Fairfield Memorial Hospital Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649442419 PECOS PAC ID: 5698671741 Enrollment ID: O20041124000368 |
Entity Name | Fairfield Memorial Hospital Association |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1255422416 PECOS PAC ID: 5698671741 Enrollment ID: O20100630000071 |
Mailing Address | Practice Location Address |
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Mason Spitzner, CRNA 303 Nw 11th St, Fairfield, IL 62837-1206 Ph: (618) 842-2611 | Mason Spitzner, CRNA 303 Nw 11th St, Fairfield, IL 62837-1206 Ph: (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 | |
Linda Sue Jennette, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 303 Nw 11th St, Fairfield, IL 62837 Phone: 618-842-2611 |