| Jerry T Metcalf, CRNA | |
|
626 Bethany Rd, Dekalb, IL 60115-4939 | |
| (815) 748-8993 | |
| Not Available |
| Full Name | Jerry T Metcalf |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 31 Years |
| Location | 626 Bethany Rd, Dekalb, 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 |
|---|---|---|---|
| 1376545160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 041-255087 (Illinois) | Primary |
| 207LP2900X | Anesthesiology - Pain Medicine | 209-002136 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kishwaukee Community Hospital | Dekalb, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Associates, Ltd | 2961303425 | 48 |
| Entity Name | Anesthesia Associates, Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952308223 PECOS PAC ID: 2961303425 Enrollment ID: O20040224000185 |
| Entity Name | Valley Pain Care Centers, Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194722058 PECOS PAC ID: 7517858632 Enrollment ID: O20040320000066 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry T Metcalf, CRNA 627 Fox Holw, Dekalb, IL 60115-2390 Ph: (815) 748-8993 | Jerry T Metcalf, CRNA 626 Bethany Rd, Dekalb, IL 60115-4939 Ph: (815) 748-8993 |
Mr. Sridhar Chigurupati, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Kish Hospital Drive, Dekalb, IL 60115 Phone: 630-936-4029 Fax: 630-936-4032 | |
David J Nowak, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3319 Meadow Trl W, Dekalb, IL 60115 Phone: 815-758-3636 | |
Connie M Bruch-harrison, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115 Phone: 815-756-1521 Fax: 815-748-8395 | |
James A Dionisopoulos, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Kish Hospital Drive, Dekalb, IL 60115 Phone: 815-756-1521 Fax: 815-748-8395 | |
Mr. Michael D Coulson, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Kish Hospital Drive, Dekalb, IL 60115 Phone: 815-756-1521 Fax: 815-748-8395 | |
Jacob Michael Szafranski, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Kish Hospital Drive, Dekalb, IL 60115 Phone: 630-936-4029 Fax: 630-936-4032 |