Civita L Dangela-wicks, CRNA | |
248 Argyle St, Birmingham, MI 48009-1529 | |
(248) 723-1738 | |
Not Available |
Full Name | Civita L Dangela-wicks |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 26 Years |
Location | 248 Argyle St, Birmingham, Michigan |
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 |
---|---|---|---|
1740244177 | NPI | - | NPPES |
104594441 | Medicaid | MI | |
1487719357 | Medicaid | MI | |
CD205386 | Other | MI | BLUE CROSS OF MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 4704205386 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Beaumont Hospital - Taylor | Taylor, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Asa Staffing Inc | 3971898644 | 106 |
Ambulatory Anesthesia Associates Pc | 5092729020 | 17 |
Northstar Anesthesia Of Michigan Iii Pllc | 7911325469 | 510 |
Entity Name | Ascension Macomb Oakland Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396789434 PECOS PAC ID: 7315859725 Enrollment ID: O20031105000692 |
Entity Name | Straith Hospital For Special Surgery |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548268436 PECOS PAC ID: 1153210067 Enrollment ID: O20040310001337 |
Entity Name | Michigan Outpatient Surgery Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992459663 PECOS PAC ID: 4587645049 Enrollment ID: O20040528001115 |
Entity Name | Ambulatory Anesthesia Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952350555 PECOS PAC ID: 5092729020 Enrollment ID: O20060130000526 |
Entity Name | Northwestern Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215106679 PECOS PAC ID: 4486723657 Enrollment ID: O20080514000823 |
Entity Name | Ascension Macomb Oakland Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871793505 PECOS PAC ID: 7315859725 Enrollment ID: O20080604000742 |
Entity Name | Essential Anesthesia Services, Plc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932482098 PECOS PAC ID: 0244492494 Enrollment ID: O20120503000636 |
Entity Name | Sterling Anesthesia Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710251541 PECOS PAC ID: 5496917593 Enrollment ID: O20120508000138 |
Entity Name | Michigan Crnas Staffing Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851666424 PECOS PAC ID: 7416105226 Enrollment ID: O20120920000441 |
Entity Name | United Pain Therapies Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427483403 PECOS PAC ID: 0446487029 Enrollment ID: O20131206000847 |
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 | Asa Staffing Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114378981 PECOS PAC ID: 3971898644 Enrollment ID: O20160818002713 |
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 |
Entity Name | Proper Anesthesia Services Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275292245 PECOS PAC ID: 5294127676 Enrollment ID: O20220114001028 |
Mailing Address | Practice Location Address |
---|---|
Civita L Dangela-wicks, CRNA 248 Argyle St, Birmingham, MI 48009-1529 Ph: (248) 723-1738 | Civita L Dangela-wicks, CRNA 248 Argyle St, Birmingham, MI 48009-1529 Ph: (248) 723-1738 |
Rea Tsatsanifos, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 381 N Old Woodward Ave, Birmingham, MI 48009 Phone: 248-245-1974 |