Lisa Hydorn, | |
47601 Grand River Ave, Novi, MI 48374-1233 | |
(248) 465-4249 | |
Not Available |
Full Name | Lisa Hydorn |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 7 Years |
Location | 47601 Grand River Ave, Novi, 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 |
---|---|---|---|
1598238172 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 4704289100 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension Providence Hospital, Southfield And Novi | Southfield, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Psj Anesthesia Pc | 8325342488 | 90 |
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 |
Mailing Address | Practice Location Address |
---|---|
Lisa Hydorn, 30400 Telegraph Rd Ste 405, Bingham Farms, MI 48025-5817 Ph: () - | Lisa Hydorn, 47601 Grand River Ave, Novi, MI 48374-1233 Ph: (248) 465-4249 |
Michael B Pfeifer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 47601 Grand River Ave, Novi, MI 48374 Phone: 248-465-4100 | |
Mrs. Amanda Lynn Murray, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 47601 Grand River Ave, Novi, MI 48374 Phone: 248-830-2616 | |
Victoria Zolkewsky, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 39450 W 12 Mile Rd, Novi, MI 48377 Phone: 248-344-6688 | |
Ms. Jing Zhang, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 47601 Grand River Ave, Novi, MI 48374 Phone: 248-465-4210 | |
Christopher James Casinelli, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 47601 Grand River Ave, Novi, MI 48374 Phone: 248-465-4100 | |
Christine Desilva, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 20755 Emily Ct, Novi, MI 48375 Phone: 248-760-0592 | |
Therese Tanski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 47601 Grand River Ave, Novi, MI 48374 Phone: 248-465-4100 |