Ms Leeann Petak, CRNA in Decatur, IL - Medicare Certified Registered Nurse Anesthetist (crna)

Ms Leeann Petak, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Decatur, Illinois. She graduated from nursing school in 2008 and has 17 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Carle Health Care Incorporated and her current practice location is 2300 N Edward St, Decatur, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 876-8121.

Ms Leeann Petak is licensed to practice in Illinois (license number 209.007167) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912159740.

Contact Information

	Ms Leeann Petak, CRNA
	2300 N Edward St, Decatur, IL 62526-4163
	(217) 876-8121
	(217) 876-2261

Map and Direction

Provider's Profile

Full Name	Ms Leeann Petak
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	17 Years
Location	2300 N Edward St, Decatur, 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.

Medical Education and Training:

Ms Leeann Petak graduated from nursing school in 2008

NPI Data:

NPI Number: 1912159740
Provider Enumeration Date: 10/10/2008
Last Update Date: 01/27/2023

Medicare PECOS Information:

PECOS PAC ID: 3072662758
Enrollment ID: I20090529000229

Medical Identifiers

Medical identifiers for Ms Leeann Petak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912159740	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	209.007167 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
The Carle Foundation Hospital	Urbana, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Carle Health Care Incorporated	3577515774	912

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Leeann Petak allows following entities to bill medicare on her behalf.

Entity Name	Sarah Bush Lincoln Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669564662 PECOS PAC ID: 5092614867 Enrollment ID: O20031231000478

Entity Name	St Anthonys Memorial Hospital Of The Hospital Sisters Of The Third
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306800602 PECOS PAC ID: 2365341211 Enrollment ID: O20040108000741

Entity Name	Central Illinois Associates Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558425462 PECOS PAC ID: 7012944648 Enrollment ID: O20050726000342

Entity Name	Carle Health Care Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829

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

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Leeann Petak is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Leeann Petak, CRNA 2300 N Edward St, Decatur, IL 62526-4163 Ph: (217) 876-8121	Ms Leeann Petak, CRNA 2300 N Edward St, Decatur, IL 62526-4163 Ph: (217) 876-8121

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Decatur, IL

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

Ms Leeann Petak, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Decatur, IL