Mrs Julie Anne Addis, CRNA | |
53830 Generations Dr, South Bend, IN 46635-1543 | |
(574) 271-0893 | |
Not Available |
Full Name | Mrs Julie Anne Addis |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 25 Years |
Location | 53830 Generations Dr, South Bend, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578672150 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 051170 (Minnesota) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 28182698A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northern Indiana Anesthesia Associates, Llc | 6709234750 | 12 |
Entity Name | Anesthesia Care Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073899449 PECOS PAC ID: 6608042288 Enrollment ID: O20120103000455 |
Entity Name | Allied Physicians Surgery Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669032942 PECOS PAC ID: 3971609702 Enrollment ID: O20190807000979 |
Entity Name | Anesthesia Dynamics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20191011000052 |
Entity Name | Northern Indiana Anesthesia Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033891510 PECOS PAC ID: 6709234750 Enrollment ID: O20231130003347 |
Mailing Address | Practice Location Address |
---|---|
Mrs Julie Anne Addis, CRNA 17501 Generations Dr, South Bend, IN 46635-1589 Ph: (574) 234-0049 | Mrs Julie Anne Addis, CRNA 53830 Generations Dr, South Bend, IN 46635-1543 Ph: (574) 271-0893 |
Ms. Jamie Ann Davidson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1536 Crestwood Blvd, South Bend, IN 46635 Phone: 574-360-2619 | |
Alvaro Andres Osorio, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-1000 | |
Hilda Bartel, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-1000 | |
Tyler Allen Rex, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 754-647-1000 | |
Janet Vardaman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 17501 Generations Dr, South Bend, IN 46635 Phone: 574-234-0049 |