| Peter Joseph Pollachek, APN | |
|
200 East Fairman Ave, Second Floor - Specialty Clinic, Watseka, IL 60970 | |
| (708) 522-9793 | |
| (855) 339-3205 |
| Full Name | Peter Joseph Pollachek |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 37 Years |
| Location | 200 East Fairman Ave, Watseka, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912902040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209-000987 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Iroquois Memorial Hospital | Watseka, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advance Pain And Anesthesia Consultants, Pc | 5294628046 | 10 |
| Vigilance Anesthesiologists And Pain Specialists Pc | 4284975541 | 6 |
| Entity Name | Advance Pain & Anesthesia Consultants, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457387078 PECOS PAC ID: 5294628046 Enrollment ID: O20040714001019 |
| Entity Name | Stat Anesthesia Specialists Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699724781 PECOS PAC ID: 8123031473 Enrollment ID: O20070529000372 |
| Entity Name | Vigilance Anesthesiologists & Pain Specialists PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013475375 PECOS PAC ID: 4284975541 Enrollment ID: O20190514000737 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Joseph Pollachek, APN 2225 Great Lakes Dr, Unit 604, Dyer, IN 46311 Ph: (708) 522-9793 | Peter Joseph Pollachek, APN 200 East Fairman Ave, Second Floor - Specialty Clinic, Watseka, IL 60970 Ph: (708) 522-9793 |
Jennifer A Hagen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 E Fairman Ave, Watseka, IL 60970 Phone: 815-432-5041 Fax: 815-432-7821 |