Ms Leeann Petak, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Decatur, IL

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Ms Leeann Petak, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Decatur, Illinois. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice North American Partners In Anesthesia Illinois Llc and her current practice location is 2300 N Edward St, Decatur, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 876-8121.

Ms Leeann Petak is licensed to practice in Illinois (license number 209.007167) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912159740.

Contact Information

Ms Leeann Petak, CRNA
2300 N Edward St,
Decatur, IL 62526-4163
(217) 876-8121
(217) 876-2261

Map and Direction




Provider's Profile

Full NameMs Leeann Petak
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience16 Years
Location2300 N Edward St, Decatur, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Leeann Petak graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1912159740
  • Provider Enumeration Date: 10/10/2008
  • Last Update Date: 01/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3072662758
  • Enrollment ID: I20090529000229

Medical Identifiers

Medical identifiers for Ms Leeann Petak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912159740NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 209.007167 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Anthonys Memorial HospitalEffingham, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North American Partners In Anesthesia Illinois Llc1052576519306

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Leeann Petak allows following entities to bill medicare on her behalf.
Entity NameSarah Bush Lincoln Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669564662
PECOS PAC ID: 5092614867
Enrollment ID: O20031231000478
Entity NameSt Anthony's Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306800602
PECOS PAC ID: 2365341211
Enrollment ID: O20040108000741
Entity NameGibson Community Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114935681
PECOS PAC ID: 5092703124
Enrollment ID: O20040505001293
Entity NameCentral Illinois Associates Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558425462
PECOS PAC ID: 7012944648
Enrollment ID: O20050726000342
Entity NameNorth American Partners In Anesthesia Illinois Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699032524
PECOS PAC ID: 1052576519
Enrollment ID: O20120706000534
Entity NameResource Anesthesiology Associates Of Il Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750347829
PECOS PAC ID: 5698006641
Enrollment ID: O20191007000960

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Leeann Petak is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Leeann Petak, CRNA
2300 N Edward St,
Decatur, IL 62526-4163

Ph: (217) 876-8121		Ms Leeann Petak, CRNA
2300 N Edward St,
Decatur, IL 62526-4163

Ph: (217) 876-8121

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Decatur, IL

Cullen Whicker, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2300 N Edward St, Decatur, IL 62526
Phone: 217-876-2575    
Janet L Gaither, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 899 E Lake Shore Dr Apt 2c, Decatur, IL 62521
Phone: 217-428-7596    Fax: 217-788-7071
Brittney L Jeffery, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2300 N Edward St, Decatur, IL 62526
Phone: 217-876-2275    Fax: 217-876-2281
Mrs. Lindsay Beth Beery, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2300 N Edward St, Decatur, IL 62526
Phone: 217-876-8121    Fax: 217-876-2261
Mary A Beam, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521
Phone: 217-464-2729    Fax: 217-464-1693
Chelsey M Clark, DNP, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2300 N Edward St, Decatur, IL 62526
Phone: 217-876-8121    
Katherine Ann Fergin,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2300 N Edward, Decatur, IL 62526
Phone: 217-876-8121    Fax: 217-876-2261

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.