| Lenny Olivares, CRNA | |
|
9301 Connecticut Drive, Crown Point, IN 46307-7486 | |
| (219) 756-2100 | |
| Not Available |
| Full Name | Lenny Olivares |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 19 Years |
| Location | 9301 Connecticut Drive, Crown Point, Indiana |
| 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 |
|---|---|---|---|
| 1164690830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 077125 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Hospitals Inc | Gary, IN | Hospital |
| Saint Anthony Hospital | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sahag Llc | 4486913480 | 11 |
| Anesthesia Dynamics Llc | 3779832530 | 860 |
| Redreef Anesthesia Associates Chartered Indiana Llc | 7012459647 | 35 |
| Entity Name | Stat Anesthesia Specialists Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992754089 PECOS PAC ID: 8123031473 Enrollment ID: O20060824000282 |
| 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 |
| Entity Name | Sahag Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174035513 PECOS PAC ID: 4486913480 Enrollment ID: O20180122000007 |
| Mailing Address | Practice Location Address |
|---|---|
| Lenny Olivares, CRNA 14518 Abbott Road East, Homer Glen, IL 60491-9227 Ph: (312) 371-8129 | Lenny Olivares, CRNA 9301 Connecticut Drive, Crown Point, IN 46307-7486 Ph: (219) 756-2100 |
Oluwadamilola A Ajasa, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12750 Saint Francis Dr, Crown Point, IN 46307 Phone: 219-738-2100 | |
Timothy J Dykstra, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1201 N Main St, Crown Point, IN 46307 Phone: 219-757-6077 | |
Mr. Mark Anthony Toth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2555 Harvest Dr, Crown Point, IN 46307 Phone: 219-743-9794 | |
Sintahyu Mulata, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 11456 South Broadway, Crown Point, IN 46307 Phone: 219-948-8015 Fax: 219-661-1408 | |
David Velasco, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1201 S Main St, Crown Point, IN 46307 Phone: 219-757-6390 | |
Mary E Means, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1201 S Main St, Crown Point, IN 46307 Phone: 219-757-6077 Fax: 219-757-6261 |