Jodi R White-johnson, | |
468 Cadieux Rd, Grosse Pointe, MI 48230-1507 | |
(313) 343-1684 | |
Not Available |
Full Name | Jodi R White-johnson |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 15 Years |
Location | 468 Cadieux Rd, Grosse Pointe, Michigan |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194059170 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 4704248249 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Beaumont Hospital - Grosse Pointe | Grosse pointe, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Eastside Group Llc | 4486790219 | 23 |
Northstar Anesthesia Of Michigan Iii Pllc | 7911325469 | 510 |
Entity Name | William Beaumont Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811044878 PECOS PAC ID: 9335051093 Enrollment ID: O20040312000217 |
Entity Name | Ambulatory Anesthesia Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952350555 PECOS PAC ID: 5092729020 Enrollment ID: O20060130000526 |
Entity Name | Eastside Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235365289 PECOS PAC ID: 4486790219 Enrollment ID: O20091008000624 |
Entity Name | Northstar Anesthesia Of Michigan Iii Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972126209 PECOS PAC ID: 7911325469 Enrollment ID: O20200915001990 |
Mailing Address | Practice Location Address |
---|---|
Jodi R White-johnson, 750 Stephenson Hwy, Payor Contract Services, Troy, MI 48083-1103 Ph: () - | Jodi R White-johnson, 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 Ph: (313) 343-1684 |
Kathleen M Mclaren, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-343-1684 | |
Shirley A Hardy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-343-1684 | |
Nayna Lal, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-473-1000 | |
Eric A Reim, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-343-1684 | |
Laura A Pytiak, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-473-1000 | |
Mr. Mark B. Wagner, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 248-577-3520 Fax: 248-577-3526 |