Jason Ford, CRNA | |
31 N Saint Joseph Ave, Niles, MI 49120 | |
(269) 687-1879 | |
(269) 683-0104 |
Full Name | Jason Ford |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 19 Years |
Location | 31 N Saint Joseph Ave, Niles, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063463933 | NPI | - | NPPES |
200539770 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 28165863 (Indiana) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 4704267914 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
La Porte Hospital | La porte, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Associates Of Laporte Pc | 3779614508 | 12 |
Entity Name | Saint Joseph Regional Medical Center-south Bend Campus Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841245594 PECOS PAC ID: 3476451790 Enrollment ID: O20031223000724 |
Entity Name | Anesthesia Associates Of Laporte Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235455429 PECOS PAC ID: 3779614508 Enrollment ID: O20100623000427 |
Mailing Address | Practice Location Address |
---|---|
Jason Ford, CRNA 31 N Saint Joseph Ave, Niles, MI 49120-2207 Ph: (269) 687-1879 | Jason Ford, CRNA 31 N Saint Joseph Ave, Niles, MI 49120 Ph: (269) 687-1879 |
Christopher Holman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 31 N Saint Joseph Ave, Niles, MI 49120 Phone: 269-687-1879 Fax: 269-683-0104 | |
Ms. Natalie Nicole Brown, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 31 N Saint Joseph Ave, Niles, MI 49120 Phone: 269-687-1879 Fax: 269-683-0104 | |
Marlene Ford, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 31 N Saint Joseph Ave, Niles, MI 49120 Phone: 269-687-1879 Fax: 269-683-0104 | |
Ricki A Loenser, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 31 N Saint Joseph Ave, Niles, MI 49120 Phone: 269-556-7948 Fax: 269-687-1472 | |
Sandra Sloane Blix, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 31 N Saint Joseph Ave, Niles, MI 49120 Phone: 269-687-1879 Fax: 269-683-0104 |