| Michael Agnich, CRNA | |
|
1210 Crown Fox Ln, New Lenox, IL 60451-1205 | |
| (815) 320-3086 | |
| (815) 464-1767 |
| Full Name | Michael Agnich |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 29 Years |
| Location | 1210 Crown Fox Ln, New Lenox, Illinois |
| 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 |
|---|---|---|---|
| 1922010933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209000590 (Illinois) | Primary |
| 207L00000X | Anesthesiology | 209-000590 (Illinois) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Elite Anesthesia Providers Ltd | 6709249006 | 26 |
| Entity Name | Springfield Clinic, LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780638478 PECOS PAC ID: 0547166076 Enrollment ID: O20040331000826 |
| Entity Name | North American Partners in Anesthesia Illinois LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699032524 PECOS PAC ID: 1052576519 Enrollment ID: O20120706000534 |
| Entity Name | Midwest Anesthesia Providers SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295189082 PECOS PAC ID: 9830480581 Enrollment ID: O20160628000182 |
| Entity Name | Elite Anesthesia Providers Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679258388 PECOS PAC ID: 6709249006 Enrollment ID: O20230905001966 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Agnich, CRNA Po Box 367, Frankfort, IL 60423-0367 Ph: (815) 320-3086 | Michael Agnich, CRNA 1210 Crown Fox Ln, New Lenox, IL 60451-1205 Ph: (815) 320-3086 |
Mohammad Mustafa Alsheikh, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Silver Cross Blvd, New Lenox, IL 60451 Phone: 815-300-1100 |
Melanie Ann Martineck, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 870 Wildwood Dr, New Lenox, IL 60451 Phone: 815-351-1627 |
Angela Agnich, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1210 Crown Fox Ln, New Lenox, IL 60451 Phone: 815-320-3086 Fax: 815-464-1767 |
Blake Mcnamara, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1900 Silver Cross Blvd, New Lenox, IL 60451 Phone: 815-300-1100 |
Dr. Kristina Lendabarker, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Silver Cross Blvd, New Lenox, IL 60451 Phone: 815-300-7236 |