| Justin D Craft, CRNA | |
|
405 W Jackson St, Carbondale, IL 62901 | |
| (618) 549-0721 | |
| Not Available |
| Full Name | Justin D Craft |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 17 Years |
| Location | 405 W Jackson St, Carbondale, 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 |
|---|---|---|---|
| 1134368707 | NPI | - | NPPES |
| 2090074373 | Other | IL | CRNA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209007473 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Good Samaritan Regional Health Center | 1658272059 | 38 |
| Marion Anesthesia Company Llc | 3577522010 | 5 |
| Entity Name | Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851390132 PECOS PAC ID: 5294649372 Enrollment ID: O20031113000382 |
| Entity Name | St Marys Hospital Centralia Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770687196 PECOS PAC ID: 6709788920 Enrollment ID: O20040127000118 |
| Entity Name | Sparta Community Hospital D/b/a Quality Healthcare Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114984226 PECOS PAC ID: 6709870462 Enrollment ID: O20040414000594 |
| Entity Name | Marion Anesthesia Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790721579 PECOS PAC ID: 3577522010 Enrollment ID: O20041008000899 |
| Entity Name | Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1851390132 PECOS PAC ID: 5294649372 Enrollment ID: O20080529000078 |
| Entity Name | Anesthesia Associates Of Southern Illinois Surgery Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043757487 PECOS PAC ID: 0648555433 Enrollment ID: O20170317000152 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin D Craft, CRNA 35 Albany Rd Ste C, Carbondale, IL 62903-7647 Ph: (618) 457-5111 | Justin D Craft, CRNA 405 W Jackson St, Carbondale, IL 62901 Ph: (618) 549-0721 |
Mr. Dan Edward Miller, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 | |
Dr. Nathaniel C Crum, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 405 W Main St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0449 | |
Mr. Shawn Wayne Pyle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0449 | |
Megan E Sims, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 | |
Britley Ann White, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Sih Medical Group Anesthesiology, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0529 | |
Ms. Christine Marie Dakin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-549-5128 |