| Shawn Michael Wynn, | |
|
210 W Walnut St, Canton, IL 61520 | |
| (309) 647-5240 | |
| Not Available |
| Full Name | Shawn Michael Wynn |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 11 Years |
| Location | 210 W Walnut St, Canton, 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 |
|---|---|---|---|
| 1750749826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209.013769 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Graham Hospital Association | Canton, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Graham Hospital Association | 2769375021 | 112 |
| Entity Name | Graham Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780692087 PECOS PAC ID: 2769375021 Enrollment ID: O20040203000055 |
| Entity Name | Hammond Henry Dist Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457344491 PECOS PAC ID: 0143115949 Enrollment ID: O20040505000524 |
| Entity Name | St Mary Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982668851 PECOS PAC ID: 8628038015 Enrollment ID: O20050407000802 |
| Entity Name | Osf Healthcare System |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1811016124 PECOS PAC ID: 4284541806 Enrollment ID: O20070504000101 |
| Mailing Address | Practice Location Address |
|---|---|
| Shawn Michael Wynn, 210 W Walnut St, Canton, IL 61520-2444 Ph: (309) 647-5240 | Shawn Michael Wynn, 210 W Walnut St, Canton, IL 61520 Ph: (309) 647-5240 |
Della Eeten, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 210 W Walnut St, Canton, IL 61520 Phone: 309-647-5240 Fax: 309-649-5110 | |
Gerri Delost, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 210 W Walnut St, Canton, IL 61520 Phone: 309-647-5240 Fax: 309-649-5110 | |
Ryan Deushane, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 210 W Walnut St, Canton, IL 61520 Phone: 309-339-8414 | |
Angela J Holthaus, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 210 W Walnut St, Canton, IL 61520 Phone: 309-647-5240 Fax: 309-649-5110 | |
Troy Green, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 210 W Walnut St, Canton, IL 61520 Phone: 309-647-5240 | |
Hope Michele Marlow, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 210 W Walnut St, Canton, IL 61520 Phone: 309-647-5240 |