| Jesyca R Haines, CRNA | |
|
1601 Sioux Valley Dr, Luverne, MN 56156-4500 | |
| (507) 283-4476 | |
| Not Available |
| Full Name | Jesyca R Haines |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 13 Years |
| Location | 1601 Sioux Valley Dr, Luverne, Minnesota |
| 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 |
|---|---|---|---|
| 1902166259 | NPI | - | NPPES |
| 46022474348 | Medicaid | NE | |
| 1902166259 | Other | WELLMARK BCBS SD | |
| 1902166259 | Medicaid | MN | |
| P01103855 | Other | SD | RAILROAD MEDICARE |
| 1902166259 | Other | BCBS MN | |
| 1902166259 | Other | DAKOTACARE | |
| 1902166259 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | CR000789 (South Dakota) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | D163533 (Iowa) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sanford Health Network | 6800707100 | 307 |
| Entity Name | Sanford Health Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699869875 PECOS PAC ID: 6800707100 Enrollment ID: O20040715001116 |
| Mailing Address | Practice Location Address |
|---|---|
| Jesyca R Haines, CRNA Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Jesyca R Haines, CRNA 1601 Sioux Valley Dr, Luverne, MN 56156-4500 Ph: (507) 283-4476 |
Mrs. Julie Ann Sherman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 N Kniss Ave, Luverne, MN 56156 Phone: 507-283-2321 | |
David L Knips, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1600 N. Kniss Ave., Luverne, MN 56156 Phone: 507-283-2321 |