| Rick Corbett, CRNA | |
|
2100 Madison Ave, Granite City, IL 62040-4701 | |
| (618) 343-0048 | |
| (618) 343-0048 |
| Full Name | Rick Corbett |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2100 Madison Ave, Granite City, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902881733 | NPI | - | NPPES |
| 000000946369 | Other | IN | ANTHEM PROVIDER NUMBER |
| 200938570 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209002579 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 28184077A (Indiana) | Primary |
| Entity Name | St Marys Hospital Centralia Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770687196 PECOS PAC ID: 6709788920 Enrollment ID: O20040127000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Rick Corbett, CRNA 500 Andra Dr, Maryville, IL 62062-5796 Ph: (618) 343-0048 | Rick Corbett, CRNA 2100 Madison Ave, Granite City, IL 62040-4701 Ph: (618) 343-0048 |
Louise E Komorek, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 660-826-5960 | |
Kathryn K Sarabia, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 660-826-5960 | |
Mary Bigongiari, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 660-826-5960 Fax: 660-826-4852 | |
David A. Giammaria, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 660-826-5960 | |
Kristopher Michael Klint, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 618-798-3000 | |
Timothy O'connor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 660-826-5960 Fax: 660-826-4852 |