Kyle Richard Hug, | |
1221 Pine Grove Ave, Port Huron, MI 48060-3511 | |
(810) 987-5000 | |
Not Available |
Full Name | Kyle Richard Hug |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1221 Pine Grove Ave, Port Huron, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922780873 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 4704329476 (Michigan) | Primary |
163W00000X | Registered Nurse | 4704329476 (Michigan) | Secondary |
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 | Asa Staffing Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114378981 PECOS PAC ID: 3971898644 Enrollment ID: O20160818002713 |
Entity Name | Prime Healthcare Services-port Huron Llc |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1912525361 PECOS PAC ID: 7214245208 Enrollment ID: O20200729002203 |
Mailing Address | Practice Location Address |
---|---|
Kyle Richard Hug, 3703 Bricker Rd, Kenockee, MI 48006-4002 Ph: () - | Kyle Richard Hug, 1221 Pine Grove Ave, Port Huron, MI 48060-3511 Ph: (810) 987-5000 |
Philip Ross Lepine, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000 | |
Mr. Todd D Boswell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2601 Electric Ave, Port Huron, MI 48060 Phone: 810-985-1550 Fax: 810-966-3104 | |
Patrina Quinn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000 | |
David John Arden, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000 Fax: 810-985-2633 | |
Sherry Lynn Bombardo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-985-7000 Fax: 810-985-2633 | |
Carrie L Cook, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 952-442-9770 Fax: 952-442-3620 | |
Lynn A Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000 Fax: 952-442-3620 |