Mr Steven John Dickerson, CRNA | |
6700 S Jackson Rd, Jackson, MI 49201-9771 | |
(517) 789-5481 | |
(517) 782-7926 |
Full Name | Mr Steven John Dickerson |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 6700 S Jackson Rd, Jackson, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013986587 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 4704111182 (Michigan) | Primary |
Entity Name | Northstar Anesthesia Of Michigan Ii Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437268026 PECOS PAC ID: 7911895164 Enrollment ID: O20040309000625 |
Entity Name | Anupama Shah Md Plc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679864623 PECOS PAC ID: 1850579855 Enrollment ID: O20110622000154 |
Mailing Address | Practice Location Address |
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Mr Steven John Dickerson, CRNA 6700 S Jackson Rd, Jackson, MI 49201-9771 Ph: (517) 789-5481 | Mr Steven John Dickerson, CRNA 6700 S Jackson Rd, Jackson, MI 49201-9771 Ph: (517) 789-5481 |
Joshua Booth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-205-4800 | |
Mr. Michael Paul Haas, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-788-4963 | |
Rocco Mascioli, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 744 W Michigan Ave, Jackson, MI 49201 Phone: 517-787-6440 Fax: 517-787-4146 | |
Meredith Meston, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-788-4963 | |
Kara E. Bono, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 255 W Michigan Ave, Jackson, MI 49201 Phone: 800-516-5315 Fax: 517-787-7365 | |
Gavin Nathan Baker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 255 W Michigan Ave, Jackson, MI 49201 Phone: 800-516-5315 Fax: 517-787-7365 |