| Mrs Julie Anne Addis, CRNA | |
|
53830 Generations Dr, South Bend, IN 46635-1543 | |
| (574) 271-0893 | |
| Not Available |
| Full Name | Mrs Julie Anne Addis |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 27 Years |
| Location | 53830 Generations Dr, South Bend, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578672150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 051170 (Minnesota) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 28182698A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northern Indiana Anesthesia Associates, Llc | 6709234750 | 8 |
| Entity Name | Anesthesia Care Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073899449 PECOS PAC ID: 6608042288 Enrollment ID: O20120103000455 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20191011000052 |
| Entity Name | Northern Indiana Anesthesia Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033891510 PECOS PAC ID: 6709234750 Enrollment ID: O20231130003347 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Julie Anne Addis, CRNA 17501 Generations Dr, South Bend, IN 46635-1589 Ph: (574) 234-0049 | Mrs Julie Anne Addis, CRNA 53830 Generations Dr, South Bend, IN 46635-1543 Ph: (574) 271-0893 |
Ms. Jamie Ann Davidson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1536 Crestwood Blvd, South Bend, IN 46635 Phone: 574-360-2619 | |
Joshua Stewart, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-234-8161 | |
Alvaro Andres Osorio, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-1000 | |
Mr. Jay Biesenthal, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-234-8161 | |
Tyler Allen Rex, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 754-647-1000 | |
Janet Vardaman, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 17501 Generations Dr, South Bend, IN 46635 Phone: 574-234-0049 |