Lonny W Smith, CRNA | |
1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | |
(810) 606-6499 | |
(810) 606-7245 |
Full Name | Lonny W Smith |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1 Genesys Pkwy, Grand Blanc, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679689996 | NPI | - | NPPES |
4779482 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 4704169618 (Michigan) | Primary |
Entity Name | Asa Staffing Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114378981 PECOS PAC ID: 3971898644 Enrollment ID: O20160818002713 |
Mailing Address | Practice Location Address |
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Lonny W Smith, CRNA 2432 Genesys Pkwy, Grand Blanc, MI 48439-8069 Ph: (810) 606-6499 | Lonny W Smith, CRNA 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 Ph: (810) 606-6499 |
Robert Myron Fedorow, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 586-524-0854 | |
William Schultz, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Genesys Pkwy, Anesthesia Office, Grand Blanc, MI 48439 Phone: 810-606-6499 | |
Lulu A Robbins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-6499 Fax: 810-606-7245 | |
Jill Ellen Day, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-6499 Fax: 810-606-7245 | |
Sarah Angela Baker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-6499 | |
Kimberly Carpenter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2432 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-6499 | |
Jodi M Delaney, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-6499 |