Kevin J Southway, CRNA | |
1000 Harrington St, Mount Clemens, MI 48043-2920 | |
(586) 493-8747 | |
Not Available |
Full Name | Kevin J Southway |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 16 Years |
Location | 1000 Harrington St, Mount Clemens, 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 |
---|---|---|---|
1407009335 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 4704244110 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension Macomb Oakland Hosp-warren Campus | Warren, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ascension Macomb Oakland Hospital | 7315859725 | 118 |
Psj Anesthesia Pc | 8325342488 | 90 |
Pinnacle Anesthesia Pllc | 8628471190 | 39 |
Entity Name | Ascension Macomb Oakland Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396789434 PECOS PAC ID: 7315859725 Enrollment ID: O20031105000692 |
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 | Surgical Centers Of Michigan Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1962463133 PECOS PAC ID: 1355393364 Enrollment ID: O20050218000062 |
Entity Name | Ascension Macomb Oakland Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871793505 PECOS PAC ID: 7315859725 Enrollment ID: O20080604000742 |
Entity Name | Macomb Endoscopy Center Plc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1780923128 PECOS PAC ID: 1850536012 Enrollment ID: O20130319000064 |
Entity Name | Glps Staffing Solutions Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750797015 PECOS PAC ID: 2365668043 Enrollment ID: O20140801002058 |
Entity Name | Northstar Anesthesia Of Michigan Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871986372 PECOS PAC ID: 9638481591 Enrollment ID: O20150707000070 |
Entity Name | Psj Anesthesia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275905796 PECOS PAC ID: 8325342488 Enrollment ID: O20160210000814 |
Entity Name | Pinnacle Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295301133 PECOS PAC ID: 8628471190 Enrollment ID: O20210721000763 |
Mailing Address | Practice Location Address |
---|---|
Kevin J Southway, CRNA 1000 Harrington St, Mount Clemens, MI 48043-2920 Ph: (586) 493-8747 | Kevin J Southway, CRNA 1000 Harrington St, Mount Clemens, MI 48043-2920 Ph: (586) 493-8747 |
Javier Zarate, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8000 | |
Ms. Lindsey April Mcclain, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8000 | |
Claire Susan Simon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: -- | |
Lyndon M Graham, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8747 | |
Yinghao Zhao, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8546 | |
Victoria L Struebing, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington Blvd, Mount Clemens, MI 48043 Phone: 586-493-8747 Fax: 586-493-8741 | |
Christine L Dex, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-2844 |