| Sawyer Caleb Henderson, CRNA | |
|
701 W North Ave, Melrose Park, IL 60160-1612 | |
| (708) 681-3200 | |
| Not Available |
| Full Name | Sawyer Caleb Henderson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 4 Years |
| Location | 701 W North Ave, Melrose Park, 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 |
|---|---|---|---|
| 1487309175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | 041461580 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209025584 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gottlieb Memorial Hospital | Melrose park, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gottlieb Community Health Services Corporation | 3375442999 | 33 |
| Encore Anesthesia Group Llc | 3476979683 | 22 |
| Arete Anesthesia Llc | 6709161961 | 12 |
| Stellar Pain And Spine Specialists | 8628361276 | 13 |
| Entity Name | Arete Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801336870 PECOS PAC ID: 6709161961 Enrollment ID: O20170330001669 |
| Entity Name | Gottlieb Community Health Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013415603 PECOS PAC ID: 3375442999 Enrollment ID: O20180420000980 |
| Entity Name | Loyola Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376041954 PECOS PAC ID: 6305109547 Enrollment ID: O20180420002063 |
| Entity Name | Sedation Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245702844 PECOS PAC ID: 7315284031 Enrollment ID: O20190202000052 |
| Entity Name | Encore Anesthesia Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558987883 PECOS PAC ID: 3476979683 Enrollment ID: O20200819000850 |
| Mailing Address | Practice Location Address |
|---|---|
| Sawyer Caleb Henderson, CRNA 730 N Milwaukee Ave Apt 1805, Chicago, IL 60642-6032 Ph: (641) 856-7288 | Sawyer Caleb Henderson, CRNA 701 W North Ave, Melrose Park, IL 60160-1612 Ph: (708) 681-3200 |
Tiffany Jean Vajda, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 W North Ave, Melrose Park, IL 60160 Phone: 708-681-3200 | |
Andrew M Christ, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 701 W North Ave, Melrose Park, IL 60160 Phone: 708-681-3200 | |
Arshnoor Aslam Qamaruddin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 W North Ave, Melrose Park, IL 60160 Phone: 708-681-3200 | |
Dana Marie Macaluso, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 W North Ave, Melrose Park, IL 60160 Phone: 708-681-3200 | |
Samuel Ortega, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 W North Ave, Melrose Park, IL 60160 Phone: 708-681-3200 | |
Andrew Reichard, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 W North Ave, Melrose Park, IL 60160 Phone: 708-681-3200 | |
Anoop Banathia, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2912 Marion Ave, Melrose Park, IL 60164 Phone: 847-260-5115 |