| 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 | Nurse Anesthetist, Certified Registered |
| Location | 2900 16th St, Bedford, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| 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 |
| 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: Accepting Medicare Assignments 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 |