Ms Stacy L Becker, CRNA | |
800 E Locust St, Olney, IL 62450-2553 | |
(618) 395-7340 | |
Not Available |
Full Name | Ms Stacy L Becker |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 800 E Locust St, Olney, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992903835 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 209005594 (Illinois) | Primary |
Entity Name | Illinois Pain Treatment Institute Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295811479 PECOS PAC ID: 3577464940 Enrollment ID: O20040119000131 |
Entity Name | Pinnacle Anesthesia Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205103777 PECOS PAC ID: 1850549841 Enrollment ID: O20120917000584 |
Mailing Address | Practice Location Address |
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Ms Stacy L Becker, CRNA 800 E Locust St, Olney, IL 62450-2553 Ph: (618) 395-7340 | Ms Stacy L Becker, CRNA 800 E Locust St, Olney, IL 62450-2553 Ph: (618) 395-7340 |
Mr. Thomas Falcone, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Locust St, Olney, IL 62450 Phone: 618-395-7340 | |
John Wall, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Locust St, Olney, IL 62450 Phone: 618-395-7340 | |
Benjamin Shawn Curtis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Locust St, Olney, IL 62450 Phone: 618-395-7340 | |
John Allen, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Locust St, Olney, IL 62450 Phone: 618-395-7340 | |
Billy Ross, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 800 E Locust St, Olney, IL 62450 Phone: 618-395-7340 |