Mr Kyle D Jennings, CRNA | |
44201 Dequindre Rd, Troy, MI 48085-1117 | |
(248) 267-5700 | |
(248) 267-5703 |
Full Name | Mr Kyle D Jennings |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 10 Years |
Location | 44201 Dequindre Rd, Troy, Michigan |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124422217 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 4704269646 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Beaumont Hospital, Troy | Troy, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Midwest Anesthesia Resources, Inc. | 3476455726 | 9 |
Northstar Anesthesia Of Michigan Iii Pllc | 7911325469 | 510 |
Entity Name | Midwest Anesthesia Resources, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467424465 PECOS PAC ID: 3476455726 Enrollment ID: O20040126000687 |
Entity Name | William Beaumont Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811044878 PECOS PAC ID: 9335051093 Enrollment ID: O20040312000217 |
Entity Name | Hurley Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558397653 PECOS PAC ID: 2961308481 Enrollment ID: O20040511000504 |
Entity Name | Northstar Anesthesia Of Michigan Iii Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972126209 PECOS PAC ID: 7911325469 Enrollment ID: O20200915001990 |
Mailing Address | Practice Location Address |
---|---|
Mr Kyle D Jennings, CRNA 750 Stephenson Hwy, Troy, MI 48083-1103 Ph: (248) 577-4995 | Mr Kyle D Jennings, CRNA 44201 Dequindre Rd, Troy, MI 48085-1117 Ph: (248) 267-5700 |
Darlene B Marsich-douglas, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4550 Investment Dr, Suite 100, Troy, MI 48098 Phone: 248-265-4600 | |
Evelyn Flynn, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 44201 Dequindre, 400 Fsc - Pcs, Troy, MI 48085 Phone: 248-423-3144 | |
Karl Thulin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 44201 Dequindre Rd, Anesthesia, Troy, MI 48085 Phone: 248-577-3521 | |
Denise Zeleny, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 44201 Dequindre, 400 Fsc - Pcs, Troy, MI 48085 Phone: 248-423-3144 | |
Andrea M Brown, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3455 Livernois Rd, Troy, MI 48083 Phone: 248-619-2020 | |
Kelly Carie, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 44201 Dequindre, 400 Fsc - Pcs, Troy, MI 48085 Phone: 248-423-3144 | |
Anna Marie Glaros, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 44201 Dequindre Rd, Troy, MI 48085 Phone: 248-964-3000 Fax: 248-964-8448 |