Mr Raymond Michael Lievens, | |
6071 W Outer Dr, Detroit, MI 48235-2624 | |
(313) 966-3300 | |
Not Available |
Full Name | Mr Raymond Michael Lievens |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 6071 W Outer Dr, Detroit, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770213852 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 4704309498 (Michigan) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 4704309498 (Michigan) | Primary |
Entity Name | Northstar Anesthesia Of Michigan Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871986372 PECOS PAC ID: 9638481591 Enrollment ID: O20150707000070 |
Mailing Address | Practice Location Address |
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Mr Raymond Michael Lievens, 1903 S Bates St, Birmingham, MI 48009-1977 Ph: (586) 770-9231 | Mr Raymond Michael Lievens, 6071 W Outer Dr, Detroit, MI 48235-2624 Ph: (313) 966-3300 |
Kimberly Dawn Harris, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3990 John R St, Detroit, MI 48201 Phone: 313-745-8521 | |
Caroline L Talbert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3990 John R St, Detroit, MI 48201 Phone: 313-745-7600 Fax: 952-442-3620 | |
Kyle Krupa, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Lisa Zetuna, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Kurt Belen, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10814 Duprey St, Detroit, MI 48224 Phone: 313-410-1988 | |
Dr. Timothy Turner, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-8078 | |
Ms. Laura Lynn Rivera, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 |