Mr George Ira Nelson Jr, CRNA | |
133 Angelina Ln, Leesville, LA 71446-2570 | |
(337) 238-5381 | |
Not Available |
Full Name | Mr George Ira Nelson Jr |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 22 Years |
Location | 133 Angelina Ln, Leesville, Louisiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760474225 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN066085 (Louisiana) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | 209008541 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
St Johns Hospital | Springfield, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North American Partners In Anesthesia Illinois Llc | 1052576519 | 306 |
Entity Name | Cgh Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902854623 PECOS PAC ID: 6103723267 Enrollment ID: O20040928000513 |
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 |
Mailing Address | Practice Location Address |
---|---|
Mr George Ira Nelson Jr, CRNA 35 Albany Rd, Ste C, Carbondale, IL 62903-7647 Ph: (337) 238-5381 | Mr George Ira Nelson Jr, CRNA 133 Angelina Ln, Leesville, LA 71446-2570 Ph: (337) 238-5381 |
Mr. Thomas L Marcantel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 815 S 10th Street, Doctors Hospital, Leesville, LA 71446 Phone: 337-392-5088 Fax: 337-392-4984 | |
Stephen R Spires, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 815 S 10th St, Elite Anes. - Credentialing, Leesville, LA 71446 Phone: 337-392-5088 Fax: 337-392-4982 |