| Mr Jakob Dillon Burchel, DNP, CRNA | |
|
2900 16th St, Bedford, IN 47421-3510 | |
| (812) 276-4378 | |
| (812) 275-1246 |
| Full Name | Mr Jakob Dillon Burchel |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 3 Years |
| Location | 2900 16th St, Bedford, 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 |
|---|---|---|---|
| 1558009969 | NPI | - | NPPES |
| 7100820520 | Medicaid | KY | |
| 300064779 | Medicaid | IN | |
| 940070016 | Other | IN | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 3017820 (Kentucky) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 28273644A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jewish Hospital & St Mary's Healthcare | Louisville, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Louisville Physicians Inc | 3476725599 | 1264 |
| Entity Name | University Of Louisville Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366722316 PECOS PAC ID: 3476725599 Enrollment ID: O20111017000036 |
| Entity Name | Ema Anesthesia, Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104102268 PECOS PAC ID: 7911174552 Enrollment ID: O20191213001786 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jakob Dillon Burchel, DNP, CRNA 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Mr Jakob Dillon Burchel, DNP, CRNA 2900 16th St, Bedford, IN 47421-3510 Ph: (812) 276-4378 |
Samantha Jo Stevens, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2900 16th St, Bedford, IN 47421 Phone: 812-276-4378 Fax: 812-275-1246 | |
Richard Westen Breeding, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2900 16th St, Bedford, IN 47421 Phone: 812-276-4378 Fax: 812-275-1246 | |
Michelle Diane Lower, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2900 W 16th Street, Bedford, IN 47421 Phone: 812-275-1200 Fax: 812-275-1231 | |
Kevin Whelan, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2900 16th St, Bedford, IN 47421 Phone: 812-276-4378 Fax: 812-275-1246 | |
Lyndi R Myers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2900 16th St, Bedford, IN 47421 Phone: 812-276-4378 Fax: 812-275-1246 | |
Mr. Terrance L Kuper, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2900 16th St, Bedford, IN 47421 Phone: 812-275-1200 Fax: 812-275-1212 |