Mr Michael Kelly Mccormick, CRNA | |
701 Dellwood St S, Cambridge, MN 55008-1920 | |
(763) 689-7700 | |
(763) 689-7941 |
Full Name | Mr Michael Kelly Mccormick |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 39 Years |
Location | 701 Dellwood St S, Cambridge, Minnesota |
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 |
---|---|---|---|
1972684892 | NPI | - | NPPES |
767043500 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R102090-8 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cuyuna Regional Medical Center | Crosby, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cuyuna Regional Medical Center | 9537146550 | 106 |
Entity Name | Cuyuna Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861414518 PECOS PAC ID: 9537146550 Enrollment ID: O20040707000501 |
Mailing Address | Practice Location Address |
---|---|
Mr Michael Kelly Mccormick, CRNA 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-4813 | Mr Michael Kelly Mccormick, CRNA 701 Dellwood St S, Cambridge, MN 55008-1920 Ph: (763) 689-7700 |
Kevin R Bray, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 763-689-7700 Fax: 763-689-7700 | |
Bethany Marie Undis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 763-689-7700 Fax: 763-689-7941 | |
Christy Sue Armstrong, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 763-689-7700 Fax: 763-689-7941 | |
Lori Lynn Adams, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 763-689-7700 | |
Patricia Hines, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 763-689-7700 Fax: 763-689-7941 | |
Glen Louis Schutte, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 763-689-7700 Fax: 763-689-7941 |