Nicholas A Collier, CRNA | |
800 East Carpenter Street, Room 2k64, Springfield, IL 62769-0001 | |
(217) 525-5643 | |
(217) 544-2521 |
Full Name | Nicholas A Collier |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 21 Years |
Location | 800 East Carpenter Street, Springfield, 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 |
---|---|---|---|
1649268624 | NPI | - | NPPES |
041321643 | Other | IL | IL LICENSE # |
0841504038 | Other | IL | BCBS OF ILLINOIS |
L031806 | Other | IL | CHAMPUS/TRICARE |
209-005041 | Other | IL | IL APN LICENSE # |
71427 | Other | IL | AANA# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 209005041 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Advocate Bromenn Medical Center | Normal, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Carle West Physician Group Inc | 8921420308 | 283 |
Entity Name | Schuyler County Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013969112 PECOS PAC ID: 9638076474 Enrollment ID: O20031218000430 |
Entity Name | Memorial Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255393112 PECOS PAC ID: 7315835949 Enrollment ID: O20040713000579 |
Entity Name | Jacksonville Crnas Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821302068 PECOS PAC ID: 2961681523 Enrollment ID: O20110127001154 |
Entity Name | Carle West Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
Mailing Address | Practice Location Address |
---|---|
Nicholas A Collier, CRNA 800 East Carpenter Street, Room 2k64, Springfield, IL 62769-0001 Ph: (217) 525-5643 | Nicholas A Collier, CRNA 800 East Carpenter Street, Room 2k64, Springfield, IL 62769-0001 Ph: (217) 525-5643 |
Douglas Mcdonald Childs, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 800 E Carpenter St, Springfield, IL 62704 Phone: 217-525-5643 Fax: 217-544-2521 | |
Carol A Gorden, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-788-3754 Fax: 217-788-7071 | |
Ann R Larson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Anesthesia Department, Springfield, IL 62781 Phone: 217-788-3754 Fax: 217-788-7071 | |
Jenna Younker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62702 Phone: 217-525-5643 Fax: 217-544-2521 | |
Kelsey A Wallace, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-788-3000 | |
Delores A Gallo, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1025 S 6th St, Springfield, IL 62703 Phone: 217-528-7541 | |
Larry D. Sartore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 800 East Carpenter Street, Room 2k64, Springfield, IL 62769 Phone: 217-525-5643 Fax: 217-544-3311 |