| Nicole Brainin, | |
|
29 South Cherry Hls, Edwardsville, IL 62025 | |
| (630) 649-8821 | |
| Not Available |
| Full Name | Nicole Brainin |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 2 Years |
| Location | 29 South Cherry Hls, Edwardsville, 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 |
|---|---|---|---|
| 1104502038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 041.441505 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amita Health Resurrection Medical Center | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of Illinois, Llc | 4688893878 | 318 |
| Entity Name | Northstar Anesthesia Of Illinois, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962822395 PECOS PAC ID: 4688893878 Enrollment ID: O20140922000405 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Brainin, 29 South Cherry Hls, Edwardsville, IL 62025 Ph: (630) 649-8821 | Nicole Brainin, 29 South Cherry Hls, Edwardsville, IL 62025 Ph: (630) 649-8821 |
Diana L Schuler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7416 Creek Ridge Ln, Edwardsville, IL 62025 Phone: 618-967-4578 | |
Mrs. Lisa M Bell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Po Box 616, Edwardsville, IL 62025 Phone: 833-749-8324 Fax: 214-301-0649 | |
Aminat Yusuff-akinbo, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Siue Nurse Anesthesia Program, Edwardsville, IL 62026 Phone: 618-650-3283 | |
Elizabeth Hamlin, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Southern Illinois University 6 Hairpin Drive, Edwardsville, IL 62026 Phone: 618-650-3956 | |
Richard William Heuermann Jr., Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6 Hairpin Drive Alumni Hall Room 2117, Edwardsville, IL 62026 Phone: 618-650-5688 | |
Cierra Janiece Jethro, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Hairpin Drive, Edwardsville, IL 62026 Phone: 618-650-3956 |