Mrs Katherine Rose Riva-foster, CRNA | |
1401 E 12th St, Mendota, IL 61342 | |
(815) 343-1925 | |
Not Available |
Full Name | Mrs Katherine Rose Riva-foster |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 12 Years |
Location | 1401 E 12th St, Mendota, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073869475 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 209-009634 (Illinois) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 041.328911 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl Ctr | Ottawa, IL | Hospital |
Osf Saint Paul Medical Center | Mendota, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Osf Multi-specialty Group | 3678889789 | 1543 |
Entity Name | Ottawa Regional Hospital & Healthcare Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306971080 PECOS PAC ID: 9133029861 Enrollment ID: O20040109000910 |
Entity Name | Mendota Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407872997 PECOS PAC ID: 2264335777 Enrollment ID: O20040131000102 |
Entity Name | Mendota Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952336323 PECOS PAC ID: 2264335777 Enrollment ID: O20040131000175 |
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 |
Entity Name | Mendota Community Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1609803113 PECOS PAC ID: 2264335777 Enrollment ID: O20080123000489 |
Entity Name | Osf Multi-specialty Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
---|---|
Mrs Katherine Rose Riva-foster, CRNA 1401 E 12th St, Mendota, IL 61342-9216 Ph: (815) 539-1607 | Mrs Katherine Rose Riva-foster, CRNA 1401 E 12th St, Mendota, IL 61342 Ph: (815) 343-1925 |