Courtney Van Tassell, CRNA | |
205 N East Ave, Jackson, MI 49201-1753 | |
(517) 788-4800 | |
(517) 780-7352 |
Full Name | Courtney Van Tassell |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 15 Years |
Location | 205 N East Ave, Jackson, 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 |
---|---|---|---|
1720316763 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 4704241423 (Michigan) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 4704241423 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Emma L Bixby Medical Center | Adrian, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
W A Foote Memorial Hospital Inc | 0244136067 | 410 |
Chelsea Community Hospital | 0648171074 | 95 |
Promedica Central Corporation Of Michigan | 7012902265 | 107 |
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 | Promedica Central Corporation Of Michigan |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588624696 PECOS PAC ID: 7012902265 Enrollment ID: O20040416001163 |
Entity Name | Chelsea Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568542967 PECOS PAC ID: 0648171074 Enrollment ID: O20040421001554 |
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 | West Michigan Aas Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295149227 PECOS PAC ID: 9931324076 Enrollment ID: O20140707000372 |
Mailing Address | Practice Location Address |
---|---|
Courtney Van Tassell, CRNA 205 N East Ave, Jackson, MI 49201-1753 Ph: (517) 788-4800 | Courtney Van Tassell, CRNA 205 N East Ave, Jackson, MI 49201-1753 Ph: (517) 788-4800 |
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 |