| Angela J Holthaus, CRNA | |
|
210 W Walnut St, Canton, IL 61520-2444 | |
| (309) 647-5240 | |
| (309) 649-5110 |
| Full Name | Angela J Holthaus |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 21 Years |
| Location | 210 W Walnut St, Canton, 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 |
|---|---|---|---|
| 1346319001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Graham Hospital Association | Canton, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Graham Hospital Association | 2769375021 | 112 |
| Entity Name | Graham Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780692087 PECOS PAC ID: 2769375021 Enrollment ID: O20040203000055 |
| Entity Name | Mcdonough County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871704874 PECOS PAC ID: 0446140180 Enrollment ID: O20040317000808 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela J Holthaus, CRNA 210 W Walnut St, Canton, IL 61520-2444 Ph: (309) 647-5240 | Angela J Holthaus, CRNA 210 W Walnut St, Canton, IL 61520-2444 Ph: (309) 647-5240 |
Della Eeten, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 210 W Walnut St, Canton, IL 61520 Phone: 309-647-5240 Fax: 309-649-5110 | |
Gerri Delost, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 210 W Walnut St, Canton, IL 61520 Phone: 309-647-5240 Fax: 309-649-5110 | |
Ryan Deushane, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 210 W Walnut St, Canton, IL 61520 Phone: 309-339-8414 | |
Troy Green, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 210 W Walnut St, Canton, IL 61520 Phone: 309-647-5240 | |
Shawn Michael Wynn, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 210 W Walnut St, Canton, IL 61520 Phone: 309-647-5240 | |
Hope Michele Marlow, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 210 W Walnut St, Canton, IL 61520 Phone: 309-647-5240 |