Omotara Kufeji, CRNA | |
22101 Moross Rd, Detroit, MI 48236-2148 | |
(313) 343-7075 | |
Not Available |
Full Name | Omotara Kufeji |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 6 Years |
Location | 22101 Moross Rd, Detroit, 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 |
---|---|---|---|
1013490770 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 4704287651 (Michigan) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 4704287651 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension St John Hospital | Detroit, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ascension St John Hospital | 3173424082 | 279 |
Psj Anesthesia Pc | 8325342488 | 90 |
Entity Name | Ascension St John Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598896995 PECOS PAC ID: 3173424082 Enrollment ID: O20040130000407 |
Entity Name | Psj Anesthesia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275905796 PECOS PAC ID: 8325342488 Enrollment ID: O20160210000814 |
Mailing Address | Practice Location Address |
---|---|
Omotara Kufeji, CRNA 25002 Riema St, Taylor, MI 48180-7975 Ph: (313) 244-4161 | Omotara Kufeji, CRNA 22101 Moross Rd, Detroit, MI 48236-2148 Ph: (313) 343-7075 |
Kimberly Dawn Harris, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3990 John R St, Detroit, MI 48201 Phone: 313-745-8521 | |
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Dr. Timothy Turner, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-8078 | |
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