| Jason Kish, CRNA | |
|
3881 E Camelot Cir Apt 302, Decatur, IL 62526-2078 | |
| (219) 765-7400 | |
| Not Available |
| Full Name | Jason Kish |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 13 Years |
| Location | 3881 E Camelot Cir Apt 302, Decatur, 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 |
|---|---|---|---|
| 1730444845 | NPI | - | NPPES |
| 89219 | Other | IL | CRNA LICENSE |
| 041350231 | Other | IL | ILLINOIS RN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 89219 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Anthony Hospital | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sahag Llc | 4486913480 | 9 |
| Entity Name | Sahag Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174035513 PECOS PAC ID: 4486913480 Enrollment ID: O20180122000007 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Kish, CRNA 3881 E Camelot Cir Apt 302, Decatur, IL 62526-2078 Ph: () - | Jason Kish, CRNA 3881 E Camelot Cir Apt 302, Decatur, IL 62526-2078 Ph: (219) 765-7400 |
Cullen Whicker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-2575 | |
Janet L Gaither, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 899 E Lake Shore Dr Apt 2c, Decatur, IL 62521 Phone: 217-428-7596 Fax: 217-788-7071 | |
Brittney L Jeffery, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-2275 Fax: 217-876-2281 | |
Mrs. Lindsay Beth Beery, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-8121 Fax: 217-876-2261 | |
Mary A Beam, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-2729 Fax: 217-464-1693 | |
Chelsey M Jenkins, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-8121 | |
Katherine Ann Fergin, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2300 N Edward, Decatur, IL 62526 Phone: 217-876-8121 Fax: 217-876-2261 |