Dorletha M Hill, CRNA | |
Michigan Surgical Center, 2075 Coolidge Road East, East Lansing, MI 48823-1378 | |
(517) 319-9000 | |
Not Available |
Full Name | Dorletha M Hill |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | Michigan Surgical Center, East Lansing, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295722502 | NPI | - | NPPES |
3629716 | Medicaid | TN | |
74001140 | Medicaid | KY | |
009921480 | Medicaid | AL | |
3140158 | Other | TN | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 48918 (Tennessee) | Primary |
Entity Name | Capital Area Anesthesia Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538105010 PECOS PAC ID: 8628975968 Enrollment ID: O20031216000210 |
Entity Name | Mymichigan Medical Center Alpena |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770667149 PECOS PAC ID: 8527969922 Enrollment ID: O20040226000605 |
Entity Name | Northstar Anesthesia Of Michigan Ii Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437268026 PECOS PAC ID: 7911895164 Enrollment ID: O20040309000625 |
Mailing Address | Practice Location Address |
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Dorletha M Hill, CRNA 905 Sunburst Rd, Jackson, MI 49203-3889 Ph: () - | Dorletha M Hill, CRNA Michigan Surgical Center, 2075 Coolidge Road East, East Lansing, MI 48823-1378 Ph: (517) 319-9000 |
Kalin Elizabeth Green, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 444 Avocet Dr, East Lansing, MI 48823 Phone: 770-377-1256 | |
Austin Wilson, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1355 Bogue St, East Lansing, MI 48824 Phone: 800-605-6424 |