Divinagracia Juco, CRNA | |
1 William Carls Dr, Commerce Township, MI 48382-2201 | |
(248) 937-3300 | |
Not Available |
Full Name | Divinagracia Juco |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1 William Carls Dr, Commerce Township, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588784342 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 4704128866 (Michigan) | Primary |
Entity Name | Valley Anesthesiology Consultants-beckett-pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437326857 PECOS PAC ID: 6507925849 Enrollment ID: O20081031000516 |
Mailing Address | Practice Location Address |
---|---|
Divinagracia Juco, CRNA 1 William Carls Dr Anesthesia Department, Commerce Township, MI 48382 Ph: (248) 937-5141 | Divinagracia Juco, CRNA 1 William Carls Dr, Commerce Township, MI 48382-2201 Ph: (248) 937-3300 |
Katherine Marie Totten, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 244 Cardinal St, Commerce Township, MI 48382 Phone: 248-366-0094 | |
Richard Wlosinski, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 William Carls Dr, Commerce Township, MI 48382 Phone: 248-937-3307 | |
Sally Savaya Zaia, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 William Carls Dr, Commerce Township, MI 48382 Phone: 248-937-3300 | |
Carrie Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 William Carls Dr, Commerce Township, MI 48382 Phone: 248-937-3307 | |
Mike Venia, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 William Carls Dr, Commerce Township, MI 48382 Phone: 248-937-3307 |