Whitney Hake, in Mount Vernon, IL - Medicare Nurse Anesthetist, Certified Registered

Whitney Hake, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mount Vernon, Illinois. Her current practice location is 1 Good Samaritan Way, Mount Vernon, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 242-4600.

Whitney Hake is licensed to practice in Illinois (license number 209029849) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1720835325.

Contact Information

	Whitney Hake,
	1 Good Samaritan Way, Mount Vernon, IL 62864-2402
	(618) 242-4600
	Not Available

Map and Direction

Provider's Profile

Full Name	Whitney Hake
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	1 Good Samaritan Way, Mount Vernon, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720835325
Provider Enumeration Date: 05/01/2024
Last Update Date: 07/19/2024

Medicare PECOS Information:

PECOS PAC ID: 7416497060
Enrollment ID: I20240910001012

Medical Identifiers

Medical identifiers for Whitney Hake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720835325	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	209029849 (Illinois)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Whitney Hake allows following entities to bill medicare on her behalf.

Entity Name	Good Samaritan Regional Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487758801 PECOS PAC ID: 1658272059 Enrollment ID: O20040119000325

Entity Name	St Marys Hospital Centralia Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770687196 PECOS PAC ID: 6709788920 Enrollment ID: O20040127000118

Entity Name	Anesthesia Associates Of Southern Illinois Surgery Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043757487 PECOS PAC ID: 0648555433 Enrollment ID: O20170317000152

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Whitney Hake is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Whitney Hake, 6418 W Park Ave, Saint Louis, MO 63139-3438 Ph: () -	Whitney Hake, 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 Ph: (618) 242-4600

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Mount Vernon, IL

Jamie Josephine Compton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2 Good Samaritan Way Ste 205, Mount Vernon, IL 62864 Phone: 161-889-9386
Jonathan L Sorenson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2 Good Samaritan Way, Suite 205, Mount Vernon, IL 62864 Phone: 618-241-1108 Fax: 618-241-3805
Jeanette Ilene Ellis, NURSE ANESTHETIST Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2 Good Samaritan Way Ste 205, Mount Vernon, IL 62864 Phone: 618-899-3869 Fax: 618-899-3558
Mr. Richard Lawrence Scott Iii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8 Doctors Park Rd, Mount Vernon, IL 62864 Phone: 314-722-6713
David Peter Rakey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1011 Wilshire Dr, Mount Vernon, IL 62864 Phone: 618-242-4150 Fax: 618-244-1696
Vincent Coty Compton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8 Doctors Park Rd, Mount Vernon, IL 62864 Phone: 618-244-5500
Elizabeth Eggemeyer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2 Good Samaritan Way, Ste 205, Mount Vernon, IL 62864 Phone: 618-899-3869 Fax: 618-899-3558

Whitney Hake, - Medicare Nurse Anesthetist, Certified Registered in Mount Vernon, IL