Victor M Olavarria Jr, CRNA | |
5900 N Mulligan Ave, Chicago, IL 60646-5334 | |
(770) 826-5045 | |
Not Available |
Full Name | Victor M Olavarria Jr |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 13 Years |
Location | 5900 N Mulligan Ave, Chicago, 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 |
---|---|---|---|
1891072005 | NPI | - | NPPES |
100019901 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 0000000 (Wisconsin) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | CRNA1019 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora Medical Center Kenosha | Kenosha, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Medical Group, Inc. | 6709794258 | 3269 |
Entity Name | Aurora Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Entity Name | Racine Anesthesia Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467782748 PECOS PAC ID: 8628103777 Enrollment ID: O20100316000106 |
Mailing Address | Practice Location Address |
---|---|
Victor M Olavarria Jr, CRNA 18699 W Linden Ave, Grayslake, IL 60030-2526 Ph: (262) 960-7635 | Victor M Olavarria Jr, CRNA 5900 N Mulligan Ave, Chicago, IL 60646-5334 Ph: (770) 826-5045 |
Mrs. Bonnie Devroe Malik, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611 Phone: 312-695-9797 | |
Debra Farida, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 836 W Wellington Ave, Chicago, IL 60657 Phone: 773-975-1600 | |
Shannon R Galvin, M.D. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 251 E Huron St Ste 5-704, Chicago, IL 60611 Phone: 312-695-0061 Fax: 312-695-9013 | |
Flordelina B Corpus, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 850 W Irving Park Rd, Chicago, IL 60613 Phone: 773-975-6705 | |
Mr. Jeremy Philip Carlsen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 251 E Huron St, Feinberg 5-704, Chicago, IL 60611 Phone: 312-926-8369 | |
Christopher Glenn, CRNA, MSN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1740 W Taylor St, 3200w, Chicago, IL 60612 Phone: 312-996-4020 | |
Christopher Payne, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1950 W Polk St, Chicago, IL 60612 Phone: 312-864-6000 |