Mr Thomas Eric Laver, CRNA | |
11 Ann Arbor Ct, Bloomington, IL 61705-8807 | |
(312) 388-4440 | |
Not Available |
Full Name | Mr Thomas Eric Laver |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 11 Ann Arbor Ct, Bloomington, 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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1124205034 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 209006954 (Illinois) | Primary |
Entity Name | Equanimity Anesthesia Services, Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821843418 PECOS PAC ID: 0648712729 Enrollment ID: O20240604003054 |
Mailing Address | Practice Location Address |
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Mr Thomas Eric Laver, CRNA 11 Ann Arbor Ct, Bloomington, IL 61705-8807 Ph: (312) 388-4440 | Mr Thomas Eric Laver, CRNA 11 Ann Arbor Ct, Bloomington, IL 61705-8807 Ph: (312) 388-4440 |
Kaitlyn E Busch, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2200 E Washington St, Bloomington, IL 61701 Phone: 309-662-3311 | |
Julie R Heisel-wolter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr, Suite Ll 1400, Bloomington, IL 61701 Phone: 309-663-4700 Fax: 309-665-0575 | |
Gregory R Dubois, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr, Ll 1400, Bloomington, IL 61701 Phone: 309-663-4700 Fax: 309-665-0575 | |
Jason Richard Huber, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2022 E Taylor St, Bloomington, IL 61701 Phone: 309-264-4571 | |
Mi H Balgemann, DNP, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2200 E Washington St, Bloomington, IL 61701 Phone: 309-662-3311 | |
Nachelle Richard, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr, Ll1400, Bloomington, IL 61701 Phone: 309-663-4700 Fax: 309-665-0575 |