| Thomas Butler, CRNA | |
|
100 Dr Warren Tuttle Drive, Harrisburg, IL 62946 | |
| (618) 253-7671 | |
| (618) 253-7104 |
| Full Name | Thomas Butler |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 45 Years |
| Location | 100 Dr Warren Tuttle Drive, Harrisburg, 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 |
|---|---|---|---|
| 1770535288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Harrisburg Medical Center | Harrisburg, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of Illinois, Llc | 4688893878 | 318 |
| Entity Name | Marion Anesthesia Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790721579 PECOS PAC ID: 3577522010 Enrollment ID: O20041008000899 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Butler, CRNA 100 Dr Warren Tuttle Drive, Harrisburg, IL 62946 Ph: (618) 253-7671 | Thomas Butler, CRNA 100 Dr Warren Tuttle Drive, Harrisburg, IL 62946 Ph: (618) 253-7671 |
Ms. Linda Jeffries, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 Dr Warren Tuttle Drive, Harrisburg, IL 62946 Phone: 618-253-7671 Fax: 618-253-7104 | |
Dennis Shimp, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 Dr Warren Tuttle Drive, Harrisburg, IL 62946 Phone: 618-253-7671 Fax: 618-253-7104 |