| Mr Jennifer L Frazier, CRNA | |
|
2200 Jacobssen Dr Ste B, Normal, IL 61761-5516 | |
| (309) 451-1123 | |
| (309) 451-1212 |
| Full Name | Mr Jennifer L Frazier |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2200 Jacobssen Dr Ste B, Normal, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780612812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 041226550 (Illinois) | Primary |
| Entity Name | Premier Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942501978 PECOS PAC ID: 5991989477 Enrollment ID: O20110407000129 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jennifer L Frazier, CRNA 2200 Jacobssen Dr Ste B, Normal, IL 61761-5516 Ph: (309) 451-1123 | Mr Jennifer L Frazier, CRNA 2200 Jacobssen Dr Ste B, Normal, IL 61761-5516 Ph: (309) 451-1123 |
Ann Schoen, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1304 Franklin Ave, Normal, IL 61761 Phone: 309-454-1400 | |
Abdi Hassan, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1304 Franklin Ave, Normal, IL 61761 Phone: 309-268-5227 | |
Leah Dean, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, Normal, IL 61761 Phone: 309-268-5867 | |
Anthony Griffin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, Normal, IL 61761 Phone: 309-268-5867 | |
Anthony Cienfuegos, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, Normal, IL 61761 Phone: 309-268-5867 | |
Mr. Dodi Suhari, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1304 Franklin Ave, Normal, IL 61761 Phone: 309-454-1400 | |
Valentina Fillman, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1304 Franklin Ave, Normal, IL 61761 Phone: 309-454-1400 |