| Kelly J Estes-bacchus, CRNA | |
|
20201 Crawford Ave, Southwest Anesthesia Consultants, Olympia Fields, IL 60461-1010 | |
| (708) 503-3857 | |
| (708) 503-3806 |
| Full Name | Kelly J Estes-bacchus |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 19 Years |
| Location | 20201 Crawford Ave, Olympia Fields, Illinois |
| 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 |
|---|---|---|---|
| 1316131410 | NPI | - | NPPES |
| 041311249 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 041-311249 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209006926 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Franciscan Health Dyer | Dyer, IN | Hospital |
| Franciscan Health Munster | Munster, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of Indiana Llc | 1153576905 | 115 |
| North American Partners In Anesthesia Illinois Llc | 1052576519 | 314 |
| Amsurg Oak Lawn Il Anesthesia Llc | 1557587029 | 6 |
| Northstar Anesthesia Of Florida Llc | 8921522376 | 37 |
| Entity Name | Northstar Anesthesia Of Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043561541 PECOS PAC ID: 1153576905 Enrollment ID: O20130227000297 |
| Entity Name | Northstar Anesthesia Of Indiana Ii Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629475421 PECOS PAC ID: 6305161654 Enrollment ID: O20150210000088 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly J Estes-bacchus, CRNA 6225 N State Highway 161 Ste 200, Irving, TX 75038-2241 Ph: (214) 687-0898 | Kelly J Estes-bacchus, CRNA 20201 Crawford Ave, Southwest Anesthesia Consultants, Olympia Fields, IL 60461-1010 Ph: (708) 503-3857 |
Laila Budhwani, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-503-3857 Fax: 708-503-3806 | |
Raymar Lim Capalac, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-747-4000 | |
Julio Cesar Esparza, DR. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-747-4000 | |
Parthenia Cheherizod Davis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-503-3857 Fax: 708-503-3806 | |
Mrs. Kathleen O'sullivan Niles, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-747-4000 | |
Monica D Pigato, C.R.N.A Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-503-3857 Fax: 708-503-3806 | |
May Miguel, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-747-4000 |