| Natalie Jones Illg, CRNA | |
|
1111medical Center Blvd., Suite S-450, Marrero, LA 70072 | |
| (504) 349-6401 | |
| (504) 349-6444 |
| Full Name | Natalie Jones Illg |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 17 Years |
| Location | 1111medical Center Blvd., Marrero, Louisiana |
| 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 |
|---|---|---|---|
| 1346405875 | NPI | - | NPPES |
| 1361089 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN107301 (Louisiana) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP05534 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital At Gulfport | Gulfport, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memorial Hospital At Gulfport | 2466524012 | 416 |
| Etas Pllc | 8123481934 | 39 |
| Best Anesthesia Pllc | 9436521168 | 13 |
| Entity Name | Memorial Hospital At Gulfport |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215546635 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396 |
| Entity Name | Best Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679286108 PECOS PAC ID: 9436521168 Enrollment ID: O20230207000883 |
| Entity Name | Etas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679259360 PECOS PAC ID: 8123481934 Enrollment ID: O20230828000521 |
| Entity Name | Magnolia State Anesthesia Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962279711 PECOS PAC ID: 1951753888 Enrollment ID: O20240116004675 |
| Mailing Address | Practice Location Address |
|---|---|
| Natalie Jones Illg, CRNA 633 Aris Avenue, Metairie, LA 70005 Ph: () - | Natalie Jones Illg, CRNA 1111medical Center Blvd., Suite S-450, Marrero, LA 70072 Ph: (504) 349-6401 |
Lauren Eustis Mcmanamon, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1101 Medical Center Blvd, Marrero, LA 70072 Phone: 504-347-5511 | |
Dr. Jennifer Le, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1101 Medical Center Blvd, Marrero, LA 70072 Phone: 504-347-5511 | |
Casey Breaux Carriere, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1101 Medical Center Blvd, Marrero, LA 70072 Phone: 504-347-5511 | |
Michael Zemke Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1101 Medical Center Blvd, Marrero, LA 70072 Phone: 504-347-5511 | |
Jessica Prest, SRNA, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1101 Medical Center Blvd, Marrero, LA 70072 Phone: 504-347-5511 | |
Alexander D Wong, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1101 Medical Center Blvd, Marrero, LA 70072 Phone: 504-347-5511 | |
Synethia Sells Hunter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1111 Medical Center Blvd., Suite S-450, Marrero, LA 70072 Phone: 504-349-6401 Fax: 504-349-6444 |