| Steven D Fetzer, CRNA | |
|
3301 Broadway St, Quincy, IL 62301-3713 | |
| (217) 222-6550 | |
| Not Available |
| Full Name | Steven D Fetzer |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 3301 Broadway St, Quincy, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528111325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209000132 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 2011040013 (Missouri) | Primary |
| Entity Name | Memorial Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730139031 PECOS PAC ID: 0244134682 Enrollment ID: O20031126000246 |
| Entity Name | Ottawa Regional Hospital & Healthcare Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306971080 PECOS PAC ID: 9133029861 Enrollment ID: O20040109000910 |
| Entity Name | Moline Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134683758 PECOS PAC ID: 4284976374 Enrollment ID: O20190419000025 |
| Mailing Address | Practice Location Address |
|---|---|
| Steven D Fetzer, CRNA 3301 Broadway St, Quincy, IL 62301-3713 Ph: (217) 222-6550 | Steven D Fetzer, CRNA 3301 Broadway St, Quincy, IL 62301-3713 Ph: (217) 222-6550 |
Kaleigh C Kuhlman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3301 Broadway St, Quincy, IL 62301 Phone: 217-222-6220 | |
Ryan Teheng, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3301 Broadway St, Quincy, IL 62301 Phone: 217-277-4090 | |
Ruth Charity Taylor, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3301 Broadway St, Quincy, IL 62301 Phone: 217-277-4090 | |
Tamara Christene Mcdonald, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1005 Broadway, Quincy, IL 62301 Phone: 217-223-8400 Fax: 217-223-9552 | |
Hannah Porter Wolinski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-1200 | |
Brian Kartchner Farrer, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-8400 | |
Mary Cooper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3301 Broadway St, Quincy, IL 62301 Phone: 217-277-4090 Fax: 217-277-6778 |