| Brandon W Ahlers, CRNA | |
|
101 S Major St, Eureka, IL 61530-1246 | |
| (309) 304-2004 | |
| Not Available |
| Full Name | Brandon W Ahlers |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 13 Years |
| Location | 101 S Major St, Eureka, 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 |
|---|---|---|---|
| 1326487166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209.010483 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Bromenn Medical Center | Normal, IL | Hospital |
| Advocate Eureka Hospital | Eureka, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carle West Physician Group Inc | 8921420308 | 290 |
| Carle Health Care Incorporated | 3577515774 | 1537 |
| Entity Name | Associated Anesthesiologists Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558306480 PECOS PAC ID: 6305744129 Enrollment ID: O20031230000544 |
| Entity Name | Carle Eureka Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1184644023 PECOS PAC ID: 3870914393 Enrollment ID: O20200609000028 |
| Entity Name | Carle West Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon W Ahlers, CRNA 611 W Park St, Fapc, Urbana, IL 61801-2500 Ph: () - | Brandon W Ahlers, CRNA 101 S Major St, Eureka, IL 61530-1246 Ph: (309) 304-2004 |
Michael Keedy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 S Major St, Eureka, IL 61530 Phone: 309-304-2004 Fax: 309-467-2880 |