Ms Leslie A Wizauer, CRNA | |
12198 Mantawauka Dr, Fenton, MI 48430-8853 | |
(810) 996-4775 | |
Not Available |
Full Name | Ms Leslie A Wizauer |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 19 Years |
Location | 12198 Mantawauka Dr, Fenton, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205847316 | NPI | - | NPPES |
101850691 | Medicaid | MI | |
0B56166 | Other | MI | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 106426 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Midwest Anesthesia Resources, Inc. | 3476455726 | 9 |
Matrix Anesthesia Plc | 9830360544 | 6 |
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 | Family Orthopedic Associates P L C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215930490 PECOS PAC ID: 6800888124 Enrollment ID: O20040330000670 |
Entity Name | Matrix Anesthesia Plc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386922268 PECOS PAC ID: 9830360544 Enrollment ID: O20110928000671 |
Entity Name | Asa Staffing Inc |
---|---|
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 |
---|---|
Ms Leslie A Wizauer, CRNA 12198 Mantawauka Dr, Fenton, MI 48430-8853 Ph: (810) 964-7756 | Ms Leslie A Wizauer, CRNA 12198 Mantawauka Dr, Fenton, MI 48430-8853 Ph: (810) 996-4775 |
Chelsea Janes, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 13294 N Horrell Rd, Fenton, MI 48430 Phone: 810-397-8020 |