| Melissa Terhark, CRNA | |
|
8600 North State Route 91, Suite #250, Peoria, IL 61615 | |
| (309) 692-5394 | |
| (309) 692-2538 |
| Full Name | Melissa Terhark |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 22 Years |
| Location | 8600 North State Route 91, Peoria, 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 |
|---|---|---|---|
| 1003919382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 041253749 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209.005184 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes At The Villages Pa | 5294987905 | 15 |
| Entity Name | Nature Coast Anesthesia Providers Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578557104 PECOS PAC ID: 2163471723 Enrollment ID: O20050120000852 |
| Entity Name | St Lukes At The Villages Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801144217 PECOS PAC ID: 5294987905 Enrollment ID: O20121204000015 |
| Entity Name | Key West Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598269524 PECOS PAC ID: 6204183833 Enrollment ID: O20180727000667 |
| Entity Name | Solace Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962046151 PECOS PAC ID: 3072945476 Enrollment ID: O20191122000303 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Terhark, CRNA 2814 E 2525th Rd, Marseilles, IL 61341-9570 Ph: (309) 453-9350 | Melissa Terhark, CRNA 8600 North State Route 91, Suite #250, Peoria, IL 61615 Ph: (309) 692-5394 |
Bradley Alan Kirkenir, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7309 N Knoxville Ave, Peoria, IL 61614 Phone: 217-528-7541 | |
Sandra M Krahn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-5522 | |
Adam Randel Osborne, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-5550 | |
Mr. Kip Neuhoff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6742 N Frostwood Pkwy, Peoria, IL 61615 Phone: 309-655-4809 | |
Dr. Samantha Mae Aufderhaar, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000 | |
Mr. Gary L Boniger, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8600 N State Route 91, Suite 250, Peoria, IL 61615 Phone: 309-692-5393 Fax: 309-692-2538 |