| Megan M Ingersoll, RN, CRNA | |
|
2100 Madison Ave, Granite City, IL 62040-4701 | |
| (618) 798-3857 | |
| Not Available |
| Full Name | Megan M Ingersoll |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 19 Years |
| Location | 2100 Madison Ave, Granite City, 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 |
|---|---|---|---|
| 1720257157 | NPI | - | NPPES |
| SS#-001 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 041343885 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209006975 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holy Family Memorial | Manitowoc, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Froedtert Manitowoc Medical Group, Llc | 2365836954 | 137 |
| Entity Name | Brookfield Anesthesiologists Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942257902 PECOS PAC ID: 5395847529 Enrollment ID: O20070219000542 |
| Entity Name | Wisconsin Spine And Pain Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790309276 PECOS PAC ID: 0345665469 Enrollment ID: O20200806002745 |
| Entity Name | Froedtert Manitowoc Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437829975 PECOS PAC ID: 2365836954 Enrollment ID: O20220224001282 |
| Mailing Address | Practice Location Address |
|---|---|
| Megan M Ingersoll, RN, CRNA 2100 Madison Ave, Granite City, IL 62040-4701 Ph: (618) 798-3857 | Megan M Ingersoll, RN, CRNA 2100 Madison Ave, Granite City, IL 62040-4701 Ph: (618) 798-3857 |
Louise E Komorek, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 660-826-5960 | |
Kathryn K Sarabia, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 660-826-5960 | |
Mary Bigongiari, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 660-826-5960 Fax: 660-826-4852 | |
David A. Giammaria, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 660-826-5960 | |
Kristopher Michael Klint, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 618-798-3000 | |
Rick Corbett, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 618-343-0048 Fax: 618-343-0048 | |
Timothy O'connor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 660-826-5960 Fax: 660-826-4852 |