| Mr Michael T Abaca, CRNA | |
|
1800 E Lake Shore Dr, Decatur, IL 62521-3810 | |
| (217) 464-2966 | |
| Not Available |
| Full Name | Mr Michael T Abaca |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 19 Years |
| Location | 1800 E Lake Shore Dr, Decatur, 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 |
|---|---|---|---|
| 1457373706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209006213 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gibson Community Hospital Association | 5092703124 | 109 |
| Anesthesia Pain Services Llc | 6507930526 | 28 |
| Entity Name | Hoopeston Community Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366480873 PECOS PAC ID: 3577456037 Enrollment ID: O20040206000745 |
| Entity Name | Gibson Community Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114935681 PECOS PAC ID: 5092703124 Enrollment ID: O20040505001293 |
| Entity Name | Gibson Community Hospital Association |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1114935681 PECOS PAC ID: 5092703124 Enrollment ID: O20071116000131 |
| Entity Name | Anesthesia Pain Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790075489 PECOS PAC ID: 6507930526 Enrollment ID: O20080808000180 |
| 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 | Tcom Specialty Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144712563 PECOS PAC ID: 8527318831 Enrollment ID: O20180907001266 |
| Entity Name | Superior Anesthesia Solutions Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205319282 PECOS PAC ID: 0446595847 Enrollment ID: O20181212002572 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael T Abaca, CRNA 611 W. Park St., Bwpc, Urbana, IL 61801-2500 Ph: (217) 383-6941 | Mr Michael T Abaca, CRNA 1800 E Lake Shore Dr, Decatur, IL 62521-3810 Ph: (217) 464-2966 |
Cullen Whicker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-2575 | |
Janet L Gaither, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 899 E Lake Shore Dr Apt 2c, Decatur, IL 62521 Phone: 217-428-7596 Fax: 217-788-7071 | |
Brittney L Jeffery, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-2275 Fax: 217-876-2281 | |
Mrs. Lindsay Beth Beery, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-8121 Fax: 217-876-2261 | |
Mary A Beam, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-2729 Fax: 217-464-1693 | |
Chelsey M Jenkins, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-8121 | |
Katherine Ann Fergin, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2300 N Edward, Decatur, IL 62526 Phone: 217-876-8121 Fax: 217-876-2261 |