Mr Jerry Lee Stuffle, CRNA | |
8673 Calhoun Pl, Crown Point, IN 46307-7713 | |
(219) 365-7954 | |
Not Available |
Full Name | Mr Jerry Lee Stuffle |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 16 Years |
Location | 8673 Calhoun Pl, Crown Point, Indiana |
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 |
---|---|---|---|
1922257211 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 28121816A (Indiana) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | 041.313724 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
St Mary Medical Center Inc | Hobart, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lakeshore Anesthesia Pc | 1951322353 | 23 |
Entity Name | Lakeshore Anesthesia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548210560 PECOS PAC ID: 1951322353 Enrollment ID: O20051213000682 |
Mailing Address | Practice Location Address |
---|---|
Mr Jerry Lee Stuffle, CRNA 8673 Calhoun Pl, Crown Point, IN 46307-7713 Ph: (219) 365-7954 | Mr Jerry Lee Stuffle, CRNA 8673 Calhoun Pl, Crown Point, IN 46307-7713 Ph: (219) 365-7954 |
Timothy J Dykstra, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1201 N Main St, Crown Point, IN 46307 Phone: 219-757-6077 | |
Lenny Olivares, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9301 Connecticut Drive, Crown Point, IN 46307 Phone: 219-756-2100 | |
Mr. Mark Anthony Toth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2555 Harvest Dr, Crown Point, IN 46307 Phone: 219-743-9794 | |
Sintahyu Mulata, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 11456 South Broadway, Crown Point, IN 46307 Phone: 219-948-8015 Fax: 219-661-1408 | |
David Velasco, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1201 S Main St, Crown Point, IN 46307 Phone: 219-757-6390 | |
Mary E Means, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1201 S Main St, Crown Point, IN 46307 Phone: 219-757-6077 Fax: 219-757-6261 |