Connie M Bruch-harrison, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Dekalb, Illinois. She graduated from medical school in 2002 and has 23 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Banner-university Medical Group and her current practice location is
1 Kish Hospital Dr, Dekalb, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 756-1521.
Connie M Bruch-harrison is licensed to practice in Arizona (license number CRNA1013) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1184626194.
Physician's Profile
| Full Name | Connie M Bruch-harrison |
|---|
| Gender | Female |
|---|
| Speciality | Certified Registered Nurse Anesthetist (crna) |
|---|
| Experience | 23 Years |
|---|
| Location | 1 Kish Hospital Dr, Dekalb, Illinois |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Connie M Bruch-harrison graduated from medical school in 2002
NPI Data:
- NPI Number: 1184626194
- Provider Enumeration Date: 08/10/2005
- Last Update Date: 11/08/2016
Medicare PECOS Information:
- PECOS PAC ID: 5193799963
- Enrollment ID: I20141104000542
Medical Identifiers
Medical identifiers for Connie M Bruch-harrison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1184626194 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207LP2900X | Anesthesiology - Pain Medicine | 041-226907 (Illinois) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 209-004518 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | CRNA1013 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Banner-university Medical Group | 7719899871 | 950 |
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. Connie M Bruch-harrison allows following entities to bill medicare on her behalf.
| Entity Name | Banner-university Medical Group |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694 |
|---|
| Entity Name | Valley Anesthesiology Consultants Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1285660704 PECOS PAC ID: 4880591841 Enrollment ID: O20031217000620 |
|---|
| Entity Name | Gateway Anesthesia And Pain Associates Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1710026125 PECOS PAC ID: 0042314668 Enrollment ID: O20070409000257 |
|---|
| Entity Name | Banner Hospital Based Physicians Arizona Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1275889891 PECOS PAC ID: 3274782487 Enrollment ID: O20121003000752 |
|---|
| Entity Name | Greater Anesthesia Solutions |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1124430244 PECOS PAC ID: 9234357906 Enrollment ID: O20140822000525 |
|---|
| Entity Name | Antigua Anesthesia Management, Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1912502055 PECOS PAC ID: 3870908676 Enrollment ID: O20210208002425 |
|---|
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. Connie M Bruch-harrison 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 |
Connie M Bruch-harrison, CRNA 207 Merry Oaks Dr, Sycamore, IL 60178-8787 Ph: (815) 762-2365 | Connie M Bruch-harrison, CRNA 1 Kish Hospital Dr, Dekalb, IL 60115-9602 Ph: (815) 756-1521 |
Reviews and Comments