Cody Brainard, | |
900 Peeler St, Kalamazoo, MI 49008-2300 | |
(269) 345-8618 | |
(269) 345-1508 |
Full Name | Cody Brainard |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 900 Peeler St, Kalamazoo, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740953116 | NPI | - | NPPES |
4704329204 | Other | MI | MI LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 4704329204 (Michigan) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 4704329204 (Michigan) | Primary |
Entity Name | Kalamazoo Anesthesiology P C |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407821796 PECOS PAC ID: 3375449473 Enrollment ID: O20031210000078 |
Mailing Address | Practice Location Address |
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Cody Brainard, Po Box 5, Burnips, MI 49314-0005 Ph: (616) 335-1738 | Cody Brainard, 900 Peeler St, Kalamazoo, MI 49008-2300 Ph: (269) 345-8618 |
Ochuko Andrew Oghor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 John St, Kalamazoo, MI 49007 Phone: 239-341-7654 | |
Anne Colonius, BSN, SRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 900 Peeler St, Kalamazoo, MI 49008 Phone: 269-345-8618 | |
Tamara Heaston, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 Peeler St Ste B, Kalamazoo, MI 49008 Phone: 269-345-8618 Fax: 269-345-1508 | |
Jessica R. Zoccoli, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 Peeler St, Kalamazoo, MI 49008 Phone: 269-345-8618 Fax: 269-345-1508 | |
Joseph Aikens, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 Peeler St, Kalamazoo, MI 49008 Phone: 269-345-8618 Fax: 269-345-1508 | |
Sophia K Quartey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 Peeler St, Kalamazoo, MI 49008 Phone: 269-345-8618 Fax: 269-345-1508 | |
Emma Breen, RN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 900 Peeler St, Kalamazoo, MI 49008 Phone: 269-345-8618 |