| Brandon Gebke, | |
|
9515 Holy Cross Ln, Breese, IL 62230-3618 | |
| (618) 526-4511 | |
| Not Available |
| Full Name | Brandon Gebke |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 7 Years |
| Location | 9515 Holy Cross Ln, Breese, 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 |
|---|---|---|---|
| 1790349967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209.019305 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Josephs Hospital | Breese, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North American Partners In Anesthesia Illinois Llc | 1052576519 | 314 |
| Entity Name | North American Partners In Anesthesia Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699032524 PECOS PAC ID: 1052576519 Enrollment ID: O20120706000534 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Gebke, 303 Spruce St, O Fallon, IL 62269-1062 Ph: () - | Brandon Gebke, 9515 Holy Cross Ln, Breese, IL 62230-3618 Ph: (618) 526-4511 |
Karen Lager, MD Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 575 N Plum St, Breese, IL 62230 Phone: 618-526-7630 | |
Pamela Sue Palme, CRNA,MSN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9515 Holy Cross Ln, Breese, IL 62230 Phone: 618-526-5329 Fax: 618-526-2291 | |
Gregory Reynolds, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9515 Holy Cross Ln, Breese, IL 62230 Phone: 618-526-4511 |