| Latosha M Kennedy, APRN, CRNA | |
|
1 Kish Hospital Dr, Dekalb, IL 60115-9602 | |
| (815) 756-1521 | |
| (815) 766-9647 |
| Full Name | Latosha M Kennedy |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 21 Years |
| Location | 1 Kish Hospital Dr, Dekalb, 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 |
|---|---|---|---|
| 1154490225 | NPI | - | NPPES |
| 1721581 | Medicaid | LA | |
| 20-1249716 | Other | LA | FEDERAL TAX I.D.NUMBER |
| Facility Name | Location | Facility Type |
|---|---|---|
| Abbott Northwestern Hospital | Minneapolis, MN | Hospital |
| Marion General Hospital | Marion, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Marion Area Physicians Llc | 1850549437 | 168 |
| Allina Health System | 4587573613 | 3584 |
| Entity Name | Marion Area Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619230802 PECOS PAC ID: 1850549437 Enrollment ID: O20120925000053 |
| Mailing Address | Practice Location Address |
|---|---|
| Latosha M Kennedy, APRN, CRNA 1 Kish Hospital Dr, Dekalb, IL 60115-9602 Ph: (815) 756-1521 | Latosha M Kennedy, APRN, CRNA 1 Kish Hospital Dr, Dekalb, IL 60115-9602 Ph: (815) 756-1521 |
Evens Mesadieu, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115 Phone: 815-756-1521 Fax: 815-766-9647 | |
Arun Antony Joseph, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115 Phone: 815-756-1521 Fax: 815-766-9647 | |
Mrs. Marci Papiernik, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115 Phone: 630-936-4029 Fax: 630-936-4032 | |
Kasaundra M Decker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115 Phone: 815-756-1521 Fax: 815-766-9647 | |
Alison Hunt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115 Phone: 630-936-4029 | |
Sothida Berry, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115 Phone: 815-936-4029 Fax: 815-936-4032 |