Civita L Dangela-wicks, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Birmingham, Michigan. Her current practice location is
248 Argyle St, Birmingham, Michigan. You can reach out to her office (for appointments etc.) via phone at
(248) 723-1738.
Civita L Dangela-wicks is licensed to practice in Michigan (license number 4704205386) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1740244177.
Provider's Profile
| Full Name | Civita L Dangela-wicks |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 248 Argyle St, Birmingham, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Civita L Dangela-wicks attended and graduated from in
NPI Data:
- NPI Number: 1740244177
- Provider Enumeration Date: 04/13/2006
- Last Update Date: 10/20/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Civita L Dangela-wicks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740244177 | NPI | - | NPPES |
| 104594441 | Medicaid | MI | |
| 1487719357 | Medicaid | MI | |
| CD205386 | Other | MI | BLUE CROSS OF MI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704205386 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Civita L Dangela-wicks is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| 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 |
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