| Anthony Simon, CRNA | |
|
600 East Blvd, Elkhart, IN 46514 | |
| (574) 524-8130 | |
| Not Available |
| Full Name | Anthony Simon |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 600 East Blvd, Elkhart, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245938505 | NPI | - | NPPES |
| 300078303 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 28250920A (Indiana) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 28250920A (Indiana) | Primary |
| Entity Name | Beacon Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657 |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Simon, CRNA 3245 Health Drive, Suite 100, Granger, IN 46530 Ph: (574) 647-1840 | Anthony Simon, CRNA 600 East Blvd, Elkhart, IN 46514 Ph: (574) 524-8130 |
Mark Mcpherson, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-523-3193 | |
Ms. Barbara Ann Doherty, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1004 Parkway Ave, Suite B, Elkhart, IN 46516 Phone: 574-522-9922 Fax: 574-522-9926 | |
Naznin Lalani, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 N Nappanee, Ste 11b, Elkhart, IN 46514 Phone: 574-522-9922 | |
Lindsay Vasil, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1513 E Jackson Blvd, Elkhart, IN 46516 Phone: 574-523-3193 | |
Denise Christine Brown, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-523-3193 Fax: 574-523-3463 | |
Patty Jean Garlick, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3080 Windsor Ct, Ste B, Elkhart, IN 46514 Phone: 574-266-7817 | |
Sara L Mcnally, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 500 N Nappanee St, Ste 11-b, Elkhart, IN 46514 Phone: 574-522-9922 Fax: 574-522-9926 |