Mrs Katherine Y Russell, CRNA | |
30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025-4502 | |
(248) 258-5058 | |
Not Available |
Full Name | Mrs Katherine Y Russell |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 32 Years |
Location | 30200 Telegraph Rd, Bingham Farms, 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 |
---|---|---|---|
1629036017 | NPI | - | NPPES |
104831330 | Medicaid | MI | |
N78650084 | Other | MI | MEDICARE |
N47230634 | Other | MI | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 4704185467 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Matrix Anesthesia Plc | 9830360544 | 6 |
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 |
Entity Name | Matrix Anesthesia Plc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386922268 PECOS PAC ID: 9830360544 Enrollment ID: O20110928000671 |
Mailing Address | Practice Location Address |
---|---|
Mrs Katherine Y Russell, CRNA 28129 Brookhill St, Farmington Hills, MI 48334-5119 Ph: () - | Mrs Katherine Y Russell, CRNA 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025-4502 Ph: (248) 258-5058 |
Michele Burke, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025 Phone: 248-258-5058 | |
Paul Santoro, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025 Phone: 248-258-5058 | |
Philip Biland, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025 Phone: 248-258-5058 | |
Timothy Marx, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025 Phone: 248-258-5058 | |
Julie Staczek-marx, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025 Phone: 248-258-5058 | |
Michael Bonds, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025 Phone: 248-258-5058 | |
Treavor Eimers, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 30200 Telegraph Rd, #220, Bingham Farms, MI 48025 Phone: 248-258-5058 Fax: 248-927-5058 |