| Andrew Moody, CRNA | |
|
1701 Curtis Rd, Champaign, IL 61822-9678 | |
| (217) 365-6206 | |
| Not Available |
| Full Name | Andrew Moody |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 21 Years |
| Location | 1701 Curtis Rd, Champaign, 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 |
|---|---|---|---|
| 1962488973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209005597 (Illinois) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 041313734 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The Carle Foundation Hospital | Urbana, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carle Health Care Incorporated | 3577515774 | 912 |
| Entity Name | Hoopeston Community Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366480873 PECOS PAC ID: 3577456037 Enrollment ID: O20040206000745 |
| Entity Name | Carle Health Care Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Moody, CRNA 611 W Park St, Urbana, IL 61801-2501 Ph: () - | Andrew Moody, CRNA 1701 Curtis Rd, Champaign, IL 61822-9678 Ph: (217) 365-6206 |
Mr. Jerome W. Wellinghoff, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4010 Riverknoll Dr, Champaign, IL 61822 Phone: 217-356-5963 Fax: 217-352-8947 | |
Carol A Reeb, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1702 S Mattis Ave, Anesthesiology, Champaign, IL 61821 Phone: 217-326-2000 Fax: 217-326-2016 | |
Mr. Walter Laesch, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 40 10 Riverknoll Dr, Champaign, IL 61822 Phone: 217-356-5963 Fax: 217-352-8947 | |
Mrs. Theresa Marie Swift, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2001 N Mattis Ave Unit 7230, Champaign, IL 61826 Phone: 217-840-1419 |