Jettero Fushi, APN-CRNA in Evanston, IL - Medicare Certified Registered Nurse Anesthetist (crna)

Jettero Fushi, APN-CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Evanston, Illinois. He graduated from nursing school in 2024 and has 1 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Endeavor Health Medical Group and his current practice location is 2650 Ridge Ave, Evanston, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 570-2760.

Jettero Fushi is licensed to practice in Illinois (license number 209030788) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013737659.

Contact Information

	Jettero Fushi, APN-CRNA
	2650 Ridge Ave, Evanston, IL 60201-1700
	(847) 570-2760
	Not Available

Map and Direction

Provider's Profile

Full Name	Jettero Fushi
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	1 Years
Location	2650 Ridge Ave, Evanston, 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.

Medical Education and Training:

Jettero Fushi graduated from nursing school in 2024

NPI Data:

NPI Number: 1013737659
Provider Enumeration Date: 10/16/2024
Last Update Date: 10/28/2024

Medicare PECOS Information:

PECOS PAC ID: 0042743692
Enrollment ID: I20241104003297

Medical Identifiers

Medical identifiers for Jettero Fushi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013737659	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	209030788 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northshore University Healthsystem - Evanston Hospital	Evanston, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Endeavor Health Medical Group	2163334699	3022

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jettero Fushi allows following entities to bill medicare on his behalf.

Entity Name	Endeavor Health Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jettero Fushi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jettero Fushi, APN-CRNA 2650 Ridge Ave, Evanston, IL 60201-1700 Ph: (847) 982-3172	Jettero Fushi, APN-CRNA 2650 Ridge Ave, Evanston, IL 60201-1700 Ph: (847) 570-2760

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Evanston, IL

Gloria Eunjin Park, DNP, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Department Of Anesthesia, Evanston, IL 60201 Phone: 847-570-2760 Fax: 847-570-2921
Nicole Basile, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2000
Cristi L. Franklin, APN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Anesthesiology Room 3905, Evanston, IL 60201 Phone: 847-570-2760 Fax: 847-570-2921
Karen Hamlett-kleinhenz, APN-CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Anesthesiology Room 3905, Evanston, IL 60201 Phone: 847-570-2921 Fax: 847-570-2921
Matthew Joseph Sadlowsky, APN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave., Department Of Anesthesia, Evanston, IL 60201 Phone: 847-570-2760 Fax: 847-570-2921
Shelby Matillano, APN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-982-3172

Jettero Fushi, APN-CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Evanston, IL