| Jason Moore, CRNA | |
|
3249 S. Oak Park Ave, Berwyn, IL 60402 | |
| (708) 783-9100 | |
| Not Available |
| Full Name | Jason Moore |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 18 Years |
| Location | 3249 S. Oak Park Ave, Berwyn, 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 |
|---|---|---|---|
| 1477711133 | NPI | - | NPPES |
| P01211517 | Other | IL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 041.326041 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209.007162 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Associates, Ltd | 2961303425 | 48 |
| Entity Name | Anesthesia Associates, Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952308223 PECOS PAC ID: 2961303425 Enrollment ID: O20040224000185 |
| Entity Name | North American Partners In Anesthesia Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699032524 PECOS PAC ID: 1052576519 Enrollment ID: O20120706000534 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Moore, CRNA 3998 Fair Ridge Dr, Suite 300, Fairfax, VA 22033-2921 Ph: (703) 295-9360 | Jason Moore, CRNA 3249 S. Oak Park Ave, Berwyn, IL 60402 Ph: (708) 783-9100 |
Telma Karerakattil, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-785-3545 | |
Stanley Ansel Kristiansen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-3013 | |
Jessica Hubl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 773-818-1132 | |
Tita J Jacildo, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3249 Oak Park Ave, Anesthesia Department, Berwyn, IL 60402 Phone: 708-783-3667 | |
Elma Divinagracia, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3249 Oak Park Ave, Anesthesia Department, Berwyn, IL 60402 Phone: 708-783-3667 | |
Yoojung Kang, MSN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-2226 | |
Michelle L Akan, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-9100 |