| Kyle Higdon, | |
|
201 S 14th St, Herrin, IL 62948-3631 | |
| (618) 942-2171 | |
| (618) 351-4919 |
| Full Name | Kyle Higdon |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 201 S 14th St, Herrin, 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 |
|---|---|---|---|
| 1235527854 | NPI | - | NPPES |
| 614881 | Other | IL | MULTISPECIALTY GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 041424312 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209.012449 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
| Harrisburg Medical Center | Harrisburg, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of Illinois, Llc | 4688893878 | 318 |
| Entity Name | Associated Anesthesiologists Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558306480 PECOS PAC ID: 6305744129 Enrollment ID: O20031230000544 |
| Entity Name | Southern Illinois Medical Services Nfp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
| Entity Name | Northstar Anesthesia Of Illinois, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962822395 PECOS PAC ID: 4688893878 Enrollment ID: O20140922000405 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Higdon, Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 942-2171 | Kyle Higdon, 201 S 14th St, Herrin, IL 62948-3631 Ph: (618) 942-2171 |
Steve Allen Rhyne, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 201 S 14th Street, Sih Medical Group Anesthesiology, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-351-4919 | |
Bradley Joseph Blakey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-351-4919 | |
Joan K. Schullian, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 510 Lincoln Dr, Herrin, IL 62948 Phone: 618-457-5111 Fax: 618-457-6560 | |
Linda Sharpless, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 |