| Ms Connie Ann Dumm, CRNA | |
|
6800 State Route 162, Maryville, IL 62062-8500 | |
| (618) 288-5711 | |
| Not Available |
| Full Name | Ms Connie Ann Dumm |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 9 Years |
| Location | 6800 State Route 162, Maryville, Illinois |
| 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 |
|---|---|---|---|
| 1164962817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209015638 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Depaul Health Center | Bridgeton, MO | Hospital |
| Anderson Hospital | Maryville, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Millennium Anesthesiology Consultants, Llc | 9133250475 | 17 |
| Metro-west Anesthesia Group Inc | 2163329921 | 184 |
| Entity Name | Millennium Anesthesiology Consultants, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710218094 PECOS PAC ID: 9133250475 Enrollment ID: O20100630000117 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Connie Ann Dumm, CRNA 409 Nepute St, Maryville, IL 62062-6653 Ph: (314) 401-5789 | Ms Connie Ann Dumm, CRNA 6800 State Route 162, Maryville, IL 62062-8500 Ph: (618) 288-5711 |
Michael Petru, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6810 State Route 162, Suite 215, Maryville, IL 62062 Phone: 618-288-5711 | |
Michael Southwick, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6810 State Route 162, Ste 215, Maryville, IL 62062 Phone: 618-288-5711 | |
Dr. Jared T Holton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 800-281-3903 | |
Joseph Hines, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6810 State Route 162, Ste 215, Maryville, IL 62062 Phone: 618-288-5711 | |
Mark Silvey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6810 State Route 162, Suite 215, Maryville, IL 62062 Phone: 618-288-5711 | |
Sherri Blaha, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6810 State Route 162, Suite 215, Maryville, IL 62062 Phone: 618-288-5711 |