Mr Jose G Tandoc, CRNA | |
2601 Electric Ave, Port Huron, MI 48060-6587 | |
(810) 985-1500 | |
(810) 966-3104 |
Full Name | Mr Jose G Tandoc |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 22 Years |
Location | 2601 Electric Ave, Port Huron, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457452294 | NPI | - | NPPES |
JT207032 | Other | MI | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 4704207032 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Henry Ford Macomb Hospital | Clinton township, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Henry Ford Macomb Hospital Corporation | 7911808381 | 285 |
Entity Name | Macomb Anesthesia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639248206 PECOS PAC ID: 2860486388 Enrollment ID: O20040408001058 |
Entity Name | Henry Ford Macomb Hospital Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528130739 PECOS PAC ID: 7911808381 Enrollment ID: O20040522000104 |
Mailing Address | Practice Location Address |
---|---|
Mr Jose G Tandoc, CRNA 56432 Edgewood Dr, Shelby Township, MI 48316-5832 Ph: () - | Mr Jose G Tandoc, CRNA 2601 Electric Ave, Port Huron, MI 48060-6587 Ph: (810) 985-1500 |
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 |