Thomas P Nolan, CRNA | |
1120 N Melvin St, Gibson, IL 60936 | |
(217) 784-4251 | |
Not Available |
Full Name | Thomas P Nolan |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 36 Years |
Location | 1120 N Melvin St, Gibson, 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 |
---|---|---|---|
1477592137 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 28124135A (Indiana) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | 209.001102 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Presence Saint Joseph Medical Center | Joliet, IL | Hospital |
Gibson Community Hospital | Gibson city, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
American Anesthesiology Associates Of Illinois, S.c. | 3971498924 | 90 |
Primary Healthcare Associates Sc | 4688635337 | 80 |
Gibson Community Hospital Association | 5092703124 | 100 |
Entity Name | American Anesthesiology Associates Of Illinois, S.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962512335 PECOS PAC ID: 3971498924 Enrollment ID: O20040218000526 |
Entity Name | Gibson Community Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114935681 PECOS PAC ID: 5092703124 Enrollment ID: O20040505001293 |
Entity Name | Primary Healthcare Associates Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467442293 PECOS PAC ID: 4688635337 Enrollment ID: O20041026000077 |
Entity Name | Harvey Anesthesiologists Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477525483 PECOS PAC ID: 3779545462 Enrollment ID: O20041104000076 |
Entity Name | Gibson Community Hospital Association |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1114935681 PECOS PAC ID: 5092703124 Enrollment ID: O20071116000131 |
Entity Name | North American Partners In Anesthesia Illinois Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699032524 PECOS PAC ID: 1052576519 Enrollment ID: O20120706000534 |
Entity Name | Resource Anesthesiology Associates Of Il Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750347829 PECOS PAC ID: 5698006641 Enrollment ID: O20191007000960 |
Mailing Address | Practice Location Address |
---|---|
Thomas P Nolan, CRNA 20940 Bradford Dr, Mokena, IL 60448-1470 Ph: (708) 341-1369 | Thomas P Nolan, CRNA 1120 N Melvin St, Gibson, IL 60936 Ph: (217) 784-4251 |