Nachelle Richard, CRNA | |
1505 Eastland Dr, Ll1400, Bloomington, IL 61701-3534 | |
(309) 663-4700 | |
(309) 665-0575 |
Full Name | Nachelle Richard |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 44 Years |
Location | 1505 Eastland Dr, Bloomington, Illinois |
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 |
---|---|---|---|
1609852615 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 041178032 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Pain Services Llc | 6507930526 | 22 |
Entity Name | Midwest Anesthesia Consultants, S.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790963114 PECOS PAC ID: 1951487172 Enrollment ID: O20080327000424 |
Entity Name | Anesthesia Pain Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790075489 PECOS PAC ID: 6507930526 Enrollment ID: O20080808000180 |
Mailing Address | Practice Location Address |
---|---|
Nachelle Richard, CRNA 1505 Eastland Dr, Ll1400, Bloomington, IL 61701-3534 Ph: (309) 663-4700 | Nachelle Richard, CRNA 1505 Eastland Dr, Ll1400, Bloomington, IL 61701-3534 Ph: (309) 663-4700 |
Mr. Thomas Eric Laver, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 11 Ann Arbor Ct, Bloomington, IL 61705 Phone: 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 |