| Aimee Shane, CRNA | |
|
1051 W South St, Kewanee, IL 61443-8354 | |
| (309) 852-7500 | |
| Not Available |
| Full Name | Aimee Shane |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 15 Years |
| Location | 1051 W South St, Kewanee, 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 |
|---|---|---|---|
| 1841502549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209.008194 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Proctor Hospital | Peoria, IL | Hospital |
| Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
| Pekin Memorial Hospital | Pekin, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Methodist Medical Center Of Illinois | 1355259714 | 283 |
| Entity Name | Windy City Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932248622 PECOS PAC ID: 9234033572 Enrollment ID: O20031120000022 |
| Entity Name | Springfield Clinic, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780638478 PECOS PAC ID: 0547166076 Enrollment ID: O20040331000826 |
| Entity Name | Methodist Medical Center Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164474755 PECOS PAC ID: 1355259714 Enrollment ID: O20070924000481 |
| Mailing Address | Practice Location Address |
|---|---|
| Aimee Shane, CRNA 278 Pin Oak Ct, Dahinda, IL 61428-9769 Ph: (309) 339-1259 | Aimee Shane, CRNA 1051 W South St, Kewanee, IL 61443-8354 Ph: (309) 852-7500 |
Neal Patrick Tex, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1051 W South St, Kewanee, IL 61443 Phone: 309-852-7500 |