| Mr Thomas Eric Laver, CRNA | |
|
11 Ann Arbor Ct, Bloomington, IL 61705-8807 | |
| (312) 388-4440 | |
| Not Available |
| Full Name | Mr Thomas Eric Laver |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 11 Ann Arbor Ct, Bloomington, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124205034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209006954 (Illinois) | Primary |
| Entity Name | Premiere Anesthesia Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720467392 PECOS PAC ID: 6608187810 Enrollment ID: O20150615001464 |
| Entity Name | Equanimity Anesthesia Services, Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821843418 PECOS PAC ID: 0648712729 Enrollment ID: O20240604003054 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Thomas Eric Laver, CRNA 11 Ann Arbor Ct, Bloomington, IL 61705-8807 Ph: (312) 388-4440 | Mr Thomas Eric Laver, CRNA 11 Ann Arbor Ct, Bloomington, IL 61705-8807 Ph: (312) 388-4440 |
Crystal Lamont, DNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2200 E Washington St, Bloomington, IL 61701 Phone: 309-662-3311 | |
Kaitlyn E Busch, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2200 E Washington St, Bloomington, IL 61701 Phone: 309-662-3311 | |
Julie R Heisel-wolter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr, Suite Ll 1400, Bloomington, IL 61701 Phone: 309-663-4700 Fax: 309-665-0575 | |
Gregory R Dubois, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr, Ll 1400, Bloomington, IL 61701 Phone: 309-663-4700 Fax: 309-665-0575 | |
Jason Richard Huber, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2022 E Taylor St, Bloomington, IL 61701 Phone: 309-264-4571 | |
Mi H Balgemann, DNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2200 E Washington St, Bloomington, IL 61701 Phone: 309-662-3311 |