Brian Lee Shue, CRNA | |
205 N East Ave, Jackson, MI 49201-1753 | |
(517) 205-4800 | |
(313) 876-1305 |
Full Name | Brian Lee Shue |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 205 N East Ave, Jackson, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770128837 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WC0200X | Registered Nurse - Critical Care Medicine | 4704306592 (Michigan) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 4704306592 (Michigan) | Primary |
Entity Name | W.a. Foote Memorial Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598776718 PECOS PAC ID: 0244136067 Enrollment ID: O20031215000624 |
Entity Name | Mclaren Flint |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346373339 PECOS PAC ID: 8628975497 Enrollment ID: O20031218000620 |
Entity Name | Henry Ford Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871666479 PECOS PAC ID: 0547178311 Enrollment ID: O20040124000368 |
Mailing Address | Practice Location Address |
---|---|
Brian Lee Shue, CRNA 1 Ford Pl Ste 3a, Detroit, MI 48202-3450 Ph: (313) 874-4806 | Brian Lee Shue, CRNA 205 N East Ave, Jackson, MI 49201-1753 Ph: (517) 205-4800 |
Joshua Booth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-205-4800 | |
Mr. Steven John Dickerson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6700 S Jackson Rd, Jackson, MI 49201 Phone: 517-789-5481 Fax: 517-782-7926 | |
Mr. Michael Paul Haas, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-788-4963 | |
Rocco Mascioli, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 744 W Michigan Ave, Jackson, MI 49201 Phone: 517-787-6440 Fax: 517-787-4146 | |
Meredith Meston, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-788-4963 | |
Kara E. Bono, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 255 W Michigan Ave, Jackson, MI 49201 Phone: 800-516-5315 Fax: 517-787-7365 | |
Gavin Nathan Baker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 255 W Michigan Ave, Jackson, MI 49201 Phone: 800-516-5315 Fax: 517-787-7365 |