Mary K Jennett, CRNA | |
4005 Orchard Dr, Midland, MI 48670-0001 | |
(989) 839-3000 | |
Not Available |
Full Name | Mary K Jennett |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 4005 Orchard Dr, Midland, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265522999 | NPI | - | NPPES |
3294932 | Medicaid | MI | |
MJ159661 | Other | MI | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 4704159661 (Michigan) | Primary |
Entity Name | Covenant Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225151897 PECOS PAC ID: 2769387778 Enrollment ID: O20040209001142 |
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 |
---|---|
Mary K Jennett, CRNA 3519 E Point Dr, Beaverton, MI 48612-8742 Ph: (989) 435-8890 | Mary K Jennett, CRNA 4005 Orchard Dr, Midland, MI 48670-0001 Ph: (989) 839-3000 |
Richard M Dudzik, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4005 Orchard Dr, Midland, MI 48670 Phone: 989-839-3000 | |
Bernard J Betka, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4005 Orchard Dr, Midland, MI 48670 Phone: 989-839-3000 | |
Donavon Earley, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2107 Laurel Ln, Midland, MI 48642 Phone: 989-750-2335 | |
Karen L Yaworski, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4005 Orchard Dr, Midland, MI 48670 Phone: 989-839-3000 | |
Christine M Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4005 Orchard Dr, Midland, MI 48670 Phone: 989-839-3000 | |
Andrew James Leis, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4000 Wellness Dr, Midland, MI 48670 Phone: 989-839-3000 | |
Hollie Caldwell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4000 Wellness Dr, Midland, MI 48670 Phone: 989-839-3639 |