Koreen S Loncharich, CRNA | |
11800 E 12 Mile Rd, Warren, MI 48093-3472 | |
(586) 573-5260 | |
(586) 573-5364 |
Full Name | Koreen S Loncharich |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 11800 E 12 Mile Rd, Warren, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790842961 | NPI | - | NPPES |
2949430 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 4704135085 (Michigan) | Primary |
Entity Name | Ascension Macomb Oakland Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396789434 PECOS PAC ID: 7315859725 Enrollment ID: O20031105000692 |
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 | Rochester Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396398681 PECOS PAC ID: 8729318704 Enrollment ID: O20190918002717 |
Mailing Address | Practice Location Address |
---|---|
Koreen S Loncharich, CRNA 11800 E 12 Mile Rd, Warren, MI 48093-3472 Ph: (586) 573-5260 | Koreen S Loncharich, CRNA 11800 E 12 Mile Rd, Warren, MI 48093-3472 Ph: (586) 573-5260 |
Kimberly A Manzaroli, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5260 Fax: 586-573-5364 | |
Toleka Regina Taylor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 Phone: 586-576-4031 | |
Metodija Naumovski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5260 Fax: 586-573-5364 | |
David J Van Dam, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5260 Fax: 586-573-5364 | |
Mr. Romulo Gasmen Pascua, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 21230 Dequindre Rd, Warren, MI 48091 Phone: 734-765-2921 | |
Norbert Kadler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5260 Fax: 586-573-5364 | |
Ms. Diane Marie Pokorski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-612-4446 |