| 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 |
|---|---|
| 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 |