| Jeannette Ineza, | |
|
400 Rosalind Redfern Grover Pwy, Edwardsville, IL 62026-0001 | |
| (432) 699-0306 | |
| Not Available |
| Full Name | Jeannette Ineza |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 400 Rosalind Redfern Grover Pwy, Edwardsville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255052254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 041488084 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 1116055 (Texas) | Primary |
| Entity Name | Anesthesia Medical Group Of The Permian Basin, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669596672 PECOS PAC ID: 6901999176 Enrollment ID: O20070904000322 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeannette Ineza, Po Box 4157, Midland, TX 79704-4157 Ph: (269) 823-2321 | Jeannette Ineza, 400 Rosalind Redfern Grover Pwy, Edwardsville, IL 62026-0001 Ph: (432) 699-0306 |
Nicole Brainin, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 29 South Cherry Hls, Edwardsville, IL 62025 Phone: 630-649-8821 | |
Diana L Schuler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7416 Creek Ridge Ln, Edwardsville, IL 62025 Phone: 618-967-4578 | |
Mrs. Lisa M Bell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Po Box 616, Edwardsville, IL 62025 Phone: 833-749-8324 Fax: 214-301-0649 | |
Aminat Yusuff-akinbo, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: Siue Nurse Anesthesia Program, Edwardsville, IL 62026 Phone: 618-650-3283 | |
Elizabeth Hamlin, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: Southern Illinois University 6 Hairpin Drive, Edwardsville, IL 62026 Phone: 618-650-3956 | |
Cierra Janiece Jethro, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Hairpin Drive, Edwardsville, IL 62026 Phone: 618-650-3956 |