Mr Haskell J Nutgrass Jr, CRNA is a
Nurse Anesthetist, Certified Registered based in Flora, Illinois. Mr Haskell J Nutgrass Jr is licensed to practice in Illinois (license number ) and his current practice location is
911 Stacey Burk Dr, Flora, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 662-1638.
NPI number for Mr Haskell J Nutgrass Jr is 1558571737 and his current mailing address is 117 E 3rd St, Flora, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558571737.
Provider's Profile
Full Name | Mr Haskell J Nutgrass Jr |
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Gender | Male |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 911 Stacey Burk Dr, Flora, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558571737
- Provider Enumeration Date: 05/23/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Haskell J Nutgrass Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558571737 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | (Illinois) | Primary |
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. Mr Haskell J Nutgrass Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Haskell J Nutgrass Jr, CRNA 117 E 3rd St, Flora, IL 62839-2036 Ph: (618) 662-2397 | Mr Haskell J Nutgrass Jr, CRNA 911 Stacey Burk Dr, Flora, IL 62839-3241 Ph: (618) 662-1638 |
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