Paul D Hutsell, CRNA | |
8600 State Route 91 Ste 250, Peoria, IL 61615-7831 | |
(309) 692-5393 | |
(309) 692-2538 |
Full Name | Paul D Hutsell |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 38 Years |
Location | 8600 State Route 91 Ste 250, Peoria, 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 |
---|---|---|---|
1245377183 | NPI | - | NPPES |
125929701 | Medicaid | AR | |
98333 | Other | AR | ARK BLUE SHIELD |
175118 | Other | MO | MO BLUE SHIELD |
912753506 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 209-014114 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Francis Medical Center | Peoria, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Principle Anesthesia Pllc | 0648631671 | 3 |
Associated Anesthesiologists Sc | 6305744129 | 127 |
Entity Name | Associated Anesthesiologists Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558306480 PECOS PAC ID: 6305744129 Enrollment ID: O20031230000544 |
Entity Name | Signature Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336608462 PECOS PAC ID: 6507108297 Enrollment ID: O20190429002687 |
Entity Name | Spectrum Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225792039 PECOS PAC ID: 1658765227 Enrollment ID: O20220224000676 |
Entity Name | Principle Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063128049 PECOS PAC ID: 0648631671 Enrollment ID: O20230807002034 |
Mailing Address | Practice Location Address |
---|---|
Paul D Hutsell, CRNA 8600 State Route 91 Ste 250, Peoria, IL 61615-7831 Ph: (309) 692-5393 | Paul D Hutsell, CRNA 8600 State Route 91 Ste 250, Peoria, IL 61615-7831 Ph: (309) 692-5393 |
Melissa Terhark, C.R.N.A Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 8600 North State Route 91, Suite #250, Peoria, IL 61615 Phone: 309-692-5394 Fax: 309-692-2538 | |
Bradley Alan Kirkenir, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 7309 N Knoxville Ave, Peoria, IL 61614 Phone: 217-528-7541 | |
Mathew J Maupin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5401 N. Knoxville Suite 416, Peoria, IL 61528 Phone: 309-692-7246 Fax: 309-692-7226 | |
Sandra M Krahn, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-5522 | |
Adam Randel Osborne, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-5550 | |
Dr. Samantha Mae Aufderhaar, DNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000 | |
Mr. Gary L Boniger, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8600 N State Route 91, Suite 250, Peoria, IL 61615 Phone: 309-692-5393 Fax: 309-692-2538 |