| Christopher Bourget, | |
|
2 Good Samaritan Way, Medical Plaza Suite 205, Mount Vernon, IL 62864-2408 | |
| (618) 241-1108 | |
| Not Available |
| Full Name | Christopher Bourget |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 11 Years |
| Location | 2 Good Samaritan Way, Mount Vernon, 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 |
|---|---|---|---|
| 1275900656 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
| Ssm Health St Mary's Hospital -centralia | Centralia, IL | Hospital |
| Sparta Community Hospital | Sparta, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Associates Of Southern Illinois Surgery Center Llc | 0648555433 | 19 |
| Good Samaritan Regional Health Center | 1658272059 | 38 |
| Memorial Hospital | 5294649372 | 18 |
| St Marys Hospital Centralia Illinois | 6709788920 | 38 |
| Entity Name | Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851390132 PECOS PAC ID: 5294649372 Enrollment ID: O20031113000382 |
| Entity Name | St Marys Hospital Centralia Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770687196 PECOS PAC ID: 6709788920 Enrollment ID: O20040127000118 |
| Entity Name | Sparta Community Hospital D/b/a Quality Healthcare Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114984226 PECOS PAC ID: 6709870462 Enrollment ID: O20040414000594 |
| Entity Name | Marion Anesthesia Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790721579 PECOS PAC ID: 3577522010 Enrollment ID: O20041008000899 |
| Entity Name | Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1851390132 PECOS PAC ID: 5294649372 Enrollment ID: O20080529000078 |
| Entity Name | Anesthesia Associates Of Southern Illinois Surgery Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043757487 PECOS PAC ID: 0648555433 Enrollment ID: O20170317000152 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Bourget, 2 Good Samaritan Way, Medical Plaza Suite 205, Mount Vernon, IL 62864-2408 Ph: () - | Christopher Bourget, 2 Good Samaritan Way, Medical Plaza Suite 205, Mount Vernon, IL 62864-2408 Ph: (618) 241-1108 |
Jamie Josephine Compton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2 Good Samaritan Way Ste 205, Mount Vernon, IL 62864 Phone: 161-889-9386 | |
Jonathan L Sorenson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2 Good Samaritan Way, Suite 205, Mount Vernon, IL 62864 Phone: 618-241-1108 Fax: 618-241-3805 | |
Jenna M Winters, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8 Doctors Park Rd, Mount Vernon, IL 62864 Phone: 618-244-5500 | |
Jeanette Ilene Ellis, NURSE ANESTHETIST Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2 Good Samaritan Way Ste 205, Mount Vernon, IL 62864 Phone: 618-899-3869 Fax: 618-899-3558 | |
Mr. Richard Lawrence Scott Iii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8 Doctors Park Rd, Mount Vernon, IL 62864 Phone: 314-722-6713 | |
David Peter Rakey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1011 Wilshire Dr, Mount Vernon, IL 62864 Phone: 618-242-4150 Fax: 618-244-1696 | |
Vincent Coty Compton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8 Doctors Park Rd, Mount Vernon, IL 62864 Phone: 618-244-5500 |