Mr Wallace Barrett Jr, CRNA | |
1215 Franciscan Dr, Litchfield, IL 62056-1778 | |
(217) 324-8389 | |
Not Available |
Full Name | Mr Wallace Barrett Jr |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 10 Years |
Location | 1215 Franciscan Dr, Litchfield, Illinois |
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 |
---|---|---|---|
1104216944 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 041.406110 (Illinois) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 209012598 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Francis Hospital | Litchfield, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North American Partners In Anesthesia Illinois Llc | 1052576519 | 306 |
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 Wallace Barrett Jr, CRNA Po Box 10484, Birmingham, AL 35202-0484 Ph: (800) 339-5844 | Mr Wallace Barrett Jr, CRNA 1215 Franciscan Dr, Litchfield, IL 62056-1778 Ph: (217) 324-8389 |
Mr. John P. Jurkanin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1215 Franciscan Dr, Litchfield, IL 62056 Phone: 217-324-8551 Fax: 217-324-8722 | |
Patti S Durbin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1215 Franciscan Drive, Anesthesia Dept, Litchfield, IL 62056 Phone: 217-324-2191 | |
Mr. Steven R. Wright, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1215 Franciscan Dr, Litchfield, IL 62056 Phone: 217-324-8551 Fax: 217-324-8722 |