Bethany Grupido, RN | |
5870 Pine Knob Rd, Clarkston, MI 48346-3281 | |
(248) 705-3372 | |
Not Available |
Full Name | Bethany Grupido |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 5870 Pine Knob Rd, Clarkston, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1164094140 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 4704292923 (Michigan) | Primary |
163W00000X | Registered Nurse | 4704292923 (Michigan) | Secondary |
Entity Name | Northstar Anesthesia Of Michigan Iii Pllc |
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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 |
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Bethany Grupido, RN 5870 Pine Knob Rd, Clarkston, MI 48346-3281 Ph: (248) 705-3372 | Bethany Grupido, RN 5870 Pine Knob Rd, Clarkston, MI 48346-3281 Ph: (248) 705-3372 |
Rosemary Flemming, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8595 Holcomb Rd, Clarkston, MI 48348 Phone: 734-740-5606 | |
Tamara Davila, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6628 College Park, Clarkston, MI 48346 Phone: 248-563-6323 | |
Mr. Thomas J Plunkett Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5173 Iroquois Ct, Clarkston, MI 48348 Phone: 248-394-0186 |