| Mason Spitzner, CRNA | |
|
303 Nw 11th St, Fairfield, IL 62837-1206 | |
| (618) 842-2611 | |
| Not Available |
| Full Name | Mason Spitzner |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 303 Nw 11th St, Fairfield, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164284972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209029238 (Illinois) | Primary |
| Entity Name | Quincy Physicians & Surgeons Clinic, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548234198 PECOS PAC ID: 0749192375 Enrollment ID: O20031103000445 |
| Entity Name | Richland Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467492124 PECOS PAC ID: 3870565732 Enrollment ID: O20040811000131 |
| Entity Name | Fairfield Memorial Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649442419 PECOS PAC ID: 5698671741 Enrollment ID: O20041124000368 |
| Entity Name | Fairfield Memorial Hospital Association |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1255422416 PECOS PAC ID: 5698671741 Enrollment ID: O20100630000071 |
| Mailing Address | Practice Location Address |
|---|---|
| Mason Spitzner, CRNA 303 Nw 11th St, Fairfield, IL 62837-1206 Ph: (618) 842-2611 | Mason Spitzner, CRNA 303 Nw 11th St, Fairfield, IL 62837-1206 Ph: (618) 842-2611 |
Joan A Potter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 303 Nw 11th St, Fairfield, IL 62837 Phone: 618-842-2611 | |
Linda Sue Jennette, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 303 Nw 11th St, Fairfield, IL 62837 Phone: 618-842-2611 |