Dr Jessica Lynn Massara, CRNA | |
3990 John R St, Detroit, MI 48201-2059 | |
(313) 745-8040 | |
Not Available |
Full Name | Dr Jessica Lynn Massara |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 3990 John R St, 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 |
---|---|---|---|
1205562329 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 4704304771 (Michigan) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 4704304331 (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 |
Entity Name | Asa Staffing Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114378981 PECOS PAC ID: 3971898644 Enrollment ID: O20160818002713 |
Mailing Address | Practice Location Address |
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Dr Jessica Lynn Massara, CRNA 1466 Shankin Ct, Wolverine Lake, MI 48390-2436 Ph: () - | Dr Jessica Lynn Massara, CRNA 3990 John R St, Detroit, MI 48201-2059 Ph: (313) 745-8040 |
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 |