Angela Pitcock, CRNA | |
1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | |
(810) 606-5000 | |
Not Available |
Full Name | Angela Pitcock |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1 Genesys Pkwy, Grand Blanc, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568860146 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 4704272465 (Michigan) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 4704272465 (Michigan) | Primary |
Entity Name | Superior Anesthetists Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831144518 PECOS PAC ID: 5890784987 Enrollment ID: O20040512000785 |
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 |
Mailing Address | Practice Location Address |
---|---|
Angela Pitcock, CRNA 149 Parnacott Dr, Mount Clemens, MI 48043-1403 Ph: (586) 549-0311 | Angela Pitcock, CRNA 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 Ph: (810) 606-5000 |
Robert Myron Fedorow, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 586-524-0854 | |
William Schultz, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Genesys Pkwy, Anesthesia Office, Grand Blanc, MI 48439 Phone: 810-606-6499 | |
Lulu A Robbins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-6499 Fax: 810-606-7245 | |
Jill Ellen Day, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-6499 Fax: 810-606-7245 | |
Sarah Angela Baker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-6499 | |
Kimberly Carpenter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2432 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-6499 | |
Jodi M Delaney, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-6499 |