| Tara Lynn Weirich, CRNA | |
|
12990 Manchester Rd, Des Peres, MO 63131-1860 | |
| (314) 367-1181 | |
| Not Available |
| Full Name | Tara Lynn Weirich |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 19 Years |
| Location | 12990 Manchester Rd, Des Peres, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104004134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209006957 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jersey Community Hospital | Jerseyville, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eye Anesthesia Llc | 5698922581 | 11 |
| Jersey Community Hospital | 4587650445 | 64 |
| Entity Name | Eye Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528334182 PECOS PAC ID: 5698922581 Enrollment ID: O20120828000886 |
| 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: O20160712001846 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Lynn Weirich, CRNA 16552 State Highway 109, Dow, IL 62022-3067 Ph: (618) 567-3706 | Tara Lynn Weirich, CRNA 12990 Manchester Rd, Des Peres, MO 63131-1860 Ph: (314) 367-1181 |
Robin K Hirth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1040 Old Des Peres Rd, Des Peres, MO 63131 Phone: 314-775-2264 | |
David A Breitenfeld, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1040 Old Des Peres Rd, Des Peres, MO 63131 Phone: 314-775-2264 |