| Dana L Rix-crouse, CRNA | |
|
2 S Hospital Dr, Murphysboro, IL 62966-3333 | |
| (618) 684-3156 | |
| (618) 529-0529 |
| Full Name | Dana L Rix-crouse |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 17 Years |
| Location | 2 S Hospital Dr, Murphysboro, 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 |
|---|---|---|---|
| 1407187784 | NPI | - | NPPES |
| 214881 | Other | IL | NGS GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 041235918 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209008062 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Memorial Hospital | Murphysboro, IL | Hospital |
| Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of Illinois, Llc | 4688893878 | 318 |
| Entity Name | Southern Illinois Medical Services Nfp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
| Entity Name | Physicians Surgery Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023297553 PECOS PAC ID: 3678658804 Enrollment ID: O20090819000870 |
| Entity Name | Northstar Anesthesia Of Illinois, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962822395 PECOS PAC ID: 4688893878 Enrollment ID: O20140922000405 |
| Mailing Address | Practice Location Address |
|---|---|
| Dana L Rix-crouse, CRNA 1239 E Main St, Carbondale, IL 62901-3175 Ph: (618) 684-3156 | Dana L Rix-crouse, CRNA 2 S Hospital Dr, Murphysboro, IL 62966-3333 Ph: (618) 684-3156 |
Mr. Richard Earl Boren, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2 S Hospital Dr, Murphysboro, IL 62966 Phone: 618-684-3156 Fax: 618-529-0529 | |
John D Lundeberg, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2 S Hospital Dr, Murphysboro, IL 62966 Phone: 618-684-3156 Fax: 618-529-0529 | |
Louise Mary Vaughn, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2 S Hospital Dr, Murphysboro, IL 62966 Phone: 618-684-3156 |