Alisa L Richardson, CRNA | |
18101 Oakwood Blvd, Anesthesia Dept, Dearborn, MI 48124-4089 | |
(313) 593-7820 | |
(313) 593-8894 |
Full Name | Alisa L Richardson |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 24 Years |
Location | 18101 Oakwood Blvd, Dearborn, Michigan |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255447850 | NPI | - | NPPES |
4355442 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 4704210727 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy St Vincent Medical Center | Toledo, OH | Hospital |
Harper University Hospital | Detroit, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northstar Anesthesia Of Michigan Pllc | 9638481591 | 180 |
Southwest Ohio Anesthesia Consultants Llc | 6901700640 | 355 |
Entity Name | Northstar Anesthesia Of Michigan Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871986372 PECOS PAC ID: 9638481591 Enrollment ID: O20150707000070 |
Entity Name | Nsa Pain Services Of Michigan Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407229479 PECOS PAC ID: 6406150408 Enrollment ID: O20160211002503 |
Entity Name | Northstar Anesthesia Of Michigan Iii Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972126209 PECOS PAC ID: 7911325469 Enrollment ID: O20200915001990 |
Mailing Address | Practice Location Address |
---|---|
Alisa L Richardson, CRNA 18101 Oakwood Blvd, Anesthesia Dept, Dearborn, MI 48124-4089 Ph: (313) 593-7820 | Alisa L Richardson, CRNA 18101 Oakwood Blvd, Anesthesia Dept, Dearborn, MI 48124-4089 Ph: (313) 593-7820 |
Megan Nicole Sanborn, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-436-2374 | |
Michael Kroll, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 18101 Oakwood Blvd, Anesthesia Dept, Dearborn, MI 48124 Phone: 313-593-7820 Fax: 313-593-8894 | |
Michele L Mack, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18100 Oakwood Blvd, Suite 100, Dearborn, MI 48124 Phone: 313-253-2000 | |
Melody Y Lowe, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 18100 Oakwood Blvd, Suite 100, Dearborn, MI 48124 Phone: 313-253-2000 Fax: 313-253-2028 | |
Robert F Mrowka, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 18101 Oakwood Blvd, Anesthesia Dept, Dearborn, MI 48124 Phone: 313-593-7820 Fax: 313-593-8894 | |
Calvin Stewart, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 18100 Oakwood Blvd, Suite 100, Dearborn, MI 48124 Phone: 313-253-2000 | |
David C Whitesell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18100 Oakwood Blvd, Suite 100, Dearborn, MI 48124 Phone: 313-253-2000 |