| Mary Lou Gagnon, CRNA | |
|
44405 Woodward Ave, Pontiac, MI 48341-5023 | |
| (248) 858-6593 | |
| Not Available |
| Full Name | Mary Lou Gagnon |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 34 Years |
| Location | 44405 Woodward Ave, Pontiac, 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 |
|---|---|---|---|
| 1952583445 | NPI | - | NPPES |
| 437785110 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704160281 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Mercy Oakland | Pontiac, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Associates Of Ann Arbor Pllc | 1355317223 | 147 |
| Entity Name | Anesthesia Associates Of Ann Arbor Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669581997 PECOS PAC ID: 1355317223 Enrollment ID: O20040902000916 |
| Entity Name | Waterford Anesthesia, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376862474 PECOS PAC ID: 6901090489 Enrollment ID: O20101028000689 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Lou Gagnon, CRNA 255 W Michigan Ave, Jackson, MI 49201-2218 Ph: (517) 787-6440 | Mary Lou Gagnon, CRNA 44405 Woodward Ave, Pontiac, MI 48341-5023 Ph: (248) 858-6593 |
Wenjing Zhang, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-6593 | |
Allison Michelle Frederick, DNAP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-585-3023 Fax: 248-585-3022 | |
Lindsey Sarnovsky, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3000 | |
Patricia A Waugh, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-6593 | |
Zorica Raveane, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-6593 | |
Stephen Stawicki, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-6593 | |
Steve Barnett, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5516 Fax: 247-338-5547 |