| David Velasco, CRNA | |
|
1201 S Main St, Crown Point, IN 46307-8481 | |
| (219) 757-6390 | |
| Not Available |
| Full Name | David Velasco |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 8 Years |
| Location | 1201 S Main St, Crown Point, Indiana |
| 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 |
|---|---|---|---|
| 1609360965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 28227148A (Indiana) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209020777 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Bromenn Medical Center | Normal, 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 | Roseland Community Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306029889 PECOS PAC ID: 8325936644 Enrollment ID: O20040309000117 |
| Entity Name | Rockford Anesthesiologists Associated Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629090642 PECOS PAC ID: 5597668004 Enrollment ID: O20040517001037 |
| 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 |
| 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 |
| Entity Name | Carle Bromenn Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104442615 PECOS PAC ID: 8921429499 Enrollment ID: O20200716000187 |
| Mailing Address | Practice Location Address |
|---|---|
| David Velasco, CRNA 1302 Franklin Ave, Normal, IL 61761-3551 Ph: () - | David Velasco, CRNA 1201 S Main St, Crown Point, IN 46307-8481 Ph: (219) 757-6390 |
Oluwadamilola A Ajasa, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12750 Saint Francis Dr, Crown Point, IN 46307 Phone: 219-738-2100 | |
Timothy J Dykstra, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1201 N Main St, Crown Point, IN 46307 Phone: 219-757-6077 | |
Lenny Olivares, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9301 Connecticut Drive, Crown Point, IN 46307 Phone: 219-756-2100 | |
Mr. Mark Anthony Toth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2555 Harvest Dr, Crown Point, IN 46307 Phone: 219-743-9794 | |
Sintahyu Mulata, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 11456 South Broadway, Crown Point, IN 46307 Phone: 219-948-8015 Fax: 219-661-1408 | |
Mary E Means, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1201 S Main St, Crown Point, IN 46307 Phone: 219-757-6077 Fax: 219-757-6261 |