Mr Jennifer L Frazier, CRNA | |
2200 Jacobssen Dr Ste B, Normal, IL 61761-5516 | |
(309) 451-1123 | |
(309) 451-1212 |
Full Name | Mr Jennifer L Frazier |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2200 Jacobssen Dr Ste B, Normal, 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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1780612812 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 041226550 (Illinois) | Primary |
Entity Name | Premier Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942501978 PECOS PAC ID: 5991989477 Enrollment ID: O20110407000129 |
Entity Name | Normal Bloomington Anesthesiologists, Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760754378 PECOS PAC ID: 4385806181 Enrollment ID: O20120424000098 |
Mailing Address | Practice Location Address |
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Mr Jennifer L Frazier, CRNA 2200 Jacobssen Dr Ste B, Normal, IL 61761-5516 Ph: (309) 451-1123 | Mr Jennifer L Frazier, CRNA 2200 Jacobssen Dr Ste B, Normal, IL 61761-5516 Ph: (309) 451-1123 |
Ann Schoen, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1304 Franklin Ave, Normal, IL 61761 Phone: 309-454-1400 | |
Leah Dean, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, Normal, IL 61761 Phone: 309-268-5867 | |
Anthony Griffin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, Normal, IL 61761 Phone: 309-268-5867 | |
Anthony Cienfuegos, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, Normal, IL 61761 Phone: 309-268-5867 | |
Mr. Dodi Suhari, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1304 Franklin Ave, Normal, IL 61761 Phone: 309-454-1400 | |
Verna L Auge, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1302 Franklin Ave Ste 1000, Normal, IL 61761 Phone: 309-268-3400 | |
Marcia Robinson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1304 Franklin Ave, Normal, IL 61761 Phone: 309-454-1400 |