Travis Albert Ibinger, RN | |
550 Harbor Cove Ln Apt 1300v, Charleston, SC 29412-3023 | |
(608) 212-6698 | |
Not Available |
Full Name | Travis Albert Ibinger |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 550 Harbor Cove Ln Apt 1300v, Charleston, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1891495438 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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163W00000X | Registered Nurse | 259259 (South Carolina) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 041.54890 (Illinois) | Primary |
Entity Name | Northstar Anesthesia Of Illinois, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962822395 PECOS PAC ID: 4688893878 Enrollment ID: O20140922000405 |
Mailing Address | Practice Location Address |
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Travis Albert Ibinger, RN 550 Harbor Cove Ln Apt 1300v, Charleston, SC 29412-3023 Ph: (608) 212-6698 | Travis Albert Ibinger, RN 550 Harbor Cove Ln Apt 1300v, Charleston, SC 29412-3023 Ph: (608) 212-6698 |
Christopher Arnold Hensley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Rebecca Leeann Jordan, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 803-920-7547 | |
Linda G Dancy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Sallie B Beam, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9263 Medical Plaza Dr, Ste E, Charleston, SC 29406 Phone: 843-572-1228 Fax: 877-561-7564 | |
Ginger L Brister, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2095 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-876-5746 | |
Mrs. Tammie Ann Stahl, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2095 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-402-1436 Fax: 843-402-1833 | |
Helen E Harman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 |