Jennifer Ellenberg, CRNA | |
826 W King St, Owosso, MI 48867-2120 | |
(989) 723-5211 | |
Not Available |
Full Name | Jennifer Ellenberg |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 26 Years |
Location | 826 W King St, Owosso, 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 |
---|---|---|---|
1356406029 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 4704231596 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mclaren Greater Lansing | Lansing, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Capital Area Anesthesia Pc | 8628975968 | 33 |
Entity Name | Capital Area Anesthesia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538105010 PECOS PAC ID: 8628975968 Enrollment ID: O20031216000210 |
Entity Name | Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235160532 PECOS PAC ID: 8527976497 Enrollment ID: O20040122000907 |
Entity Name | Northstar Anesthesia Of Michigan Ii Pc |
---|---|
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 |
---|---|
Jennifer Ellenberg, CRNA 826 W King St, Po Box 456, Owosso, MI 48867-2120 Ph: (989) 729-4546 | Jennifer Ellenberg, CRNA 826 W King St, Owosso, MI 48867-2120 Ph: (989) 723-5211 |
Mrs. Dorothy L Dillard, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1648 W Bennington Rd # 1, Owosso, MI 48867 Phone: 734-241-3891 Fax: 734-241-0014 | |
Scott Michael Leykauf, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 826 W King St, Owosso, MI 48867 Phone: 989-729-4817 | |
Mr. Christopher Ward, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 826 W King St, Owosso, MI 48867 Phone: 989-723-5211 |