| Whitney Hake, | |
|
1 Good Samaritan Way, Mount Vernon, IL 62864-2402 | |
| (618) 242-4600 | |
| Not Available |
| Full Name | Whitney Hake |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 1 Years |
| Location | 1 Good Samaritan Way, Mount Vernon, Illinois |
| 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 |
|---|---|---|---|
| 1720835325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209029849 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Associates Of Southern Illinois Surgery Center Llc | 0648555433 | 19 |
| Good Samaritan Regional Health Center | 1658272059 | 38 |
| Entity Name | St Marys Hospital Centralia Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770687196 PECOS PAC ID: 6709788920 Enrollment ID: O20040127000118 |
| Entity Name | Anesthesia Associates Of Southern Illinois Surgery Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043757487 PECOS PAC ID: 0648555433 Enrollment ID: O20170317000152 |
| Mailing Address | Practice Location Address |
|---|---|
| Whitney Hake, 6418 W Park Ave, Saint Louis, MO 63139-3438 Ph: () - | Whitney Hake, 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 Ph: (618) 242-4600 |
Jamie Josephine Compton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2 Good Samaritan Way Ste 205, Mount Vernon, IL 62864 Phone: 161-889-9386 | |
Jonathan L Sorenson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2 Good Samaritan Way, Suite 205, Mount Vernon, IL 62864 Phone: 618-241-1108 Fax: 618-241-3805 | |
Jenna M Winters, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8 Doctors Park Rd, Mount Vernon, IL 62864 Phone: 618-244-5500 | |
Jeanette Ilene Ellis, NURSE ANESTHETIST Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2 Good Samaritan Way Ste 205, Mount Vernon, IL 62864 Phone: 618-899-3869 Fax: 618-899-3558 | |
Mr. Richard Lawrence Scott Iii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8 Doctors Park Rd, Mount Vernon, IL 62864 Phone: 314-722-6713 | |
David Peter Rakey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1011 Wilshire Dr, Mount Vernon, IL 62864 Phone: 618-242-4150 Fax: 618-244-1696 | |
Vincent Coty Compton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8 Doctors Park Rd, Mount Vernon, IL 62864 Phone: 618-244-5500 |