| Ruben P Dettman, CRNA | |
|
1425 N Randall Rd, Elgin, IL 60123-2300 | |
| (630) 456-5593 | |
| Not Available |
| Full Name | Ruben P Dettman |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 5 Years |
| Location | 1425 N Randall Rd, Elgin, 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 |
|---|---|---|---|
| 1881266971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209.023868 (Illinois) | Primary |
| 163W00000X | Registered Nurse | 041431339 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Joseph Hospital-elgin | Elgin, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of Illinois, Llc | 4688893878 | 404 |
| Quantum Anesthesia Services Llc | 7618100751 | 10 |
| Entity Name | Quantum Anesthesia Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033546833 PECOS PAC ID: 7618100751 Enrollment ID: O20140425001247 |
| 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 |
| Entity Name | Midwest Anesthesia Providers SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295189082 PECOS PAC ID: 9830480581 Enrollment ID: O20160628000182 |
| Entity Name | Exhale Sinus PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841838109 PECOS PAC ID: 9133550635 Enrollment ID: O20200518001768 |
| Entity Name | Ear Nose and Throat Family Clinic of Wisconsin SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578650164 PECOS PAC ID: 7911997655 Enrollment ID: O20210309001035 |
| Mailing Address | Practice Location Address |
|---|---|
| Ruben P Dettman, CRNA 29373 Network Pl, Chicago, IL 60673-1293 Ph: Not Available | Ruben P Dettman, CRNA 1425 N Randall Rd, Elgin, IL 60123-2300 Ph: (630) 456-5593 |
Janine A. Goodsite, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 77 N Airlite St, Elgin, IL 60123 Phone: 312-695-3200 |
James Redding, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1425 N Randall Rd, Elgin, IL 60123 Phone: 224-783-2932 Fax: 224-783-2032 |
Laura J Sostak, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 934 Center St, Elgin, IL 60120 Phone: 847-742-9800 |
Sheila Murray, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1425 N Randall Rd, Elgin, IL 60123 Phone: 847-782-9800 |
Minnara Abraham, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1425 N Randall Rd, Elgin, IL 60123 Phone: 847-742-9800 Fax: 224-783-3002 |
Joan Young, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 77 N Airlite St, Elgin, IL 60123 Phone: 847-695-3200 |
Souphaphone Bounmythavong Nicksic, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1425 N Randall Rd, Elgin, IL 60123 Phone: 224-783-1065 Fax: 224-783-2852 |