Philip B Durden, CRNA | |
955 S Bailey Ave, South Haven, MI 49090-9701 | |
(269) 637-5271 | |
(269) 639-2818 |
Full Name | Philip B Durden |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 26 Years |
Location | 955 S Bailey Ave, South Haven, Michigan |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770537169 | NPI | - | NPPES |
430C910670 | Other | MI | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 4704231742 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bronson Lakeview Hospital | Paw paw, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kalamazoo Anesthesiology P C | 3375449473 | 128 |
Entity Name | Kalamazoo Anesthesiology P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407821796 PECOS PAC ID: 3375449473 Enrollment ID: O20031210000078 |
Entity Name | Bronson South Haven Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174749170 PECOS PAC ID: 6204724834 Enrollment ID: O20040305001005 |
Entity Name | Lakeshore Anesthesia Staffing Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255781019 PECOS PAC ID: 7416242946 Enrollment ID: O20160823002740 |
Entity Name | Black River Anesthesia Staffing Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245850957 PECOS PAC ID: 5890119358 Enrollment ID: O20200717000256 |
Mailing Address | Practice Location Address |
---|---|
Philip B Durden, CRNA 05444 Beechwood Ln, South Haven, MI 49090-7797 Ph: (574) 268-9640 | Philip B Durden, CRNA 955 S Bailey Ave, South Haven, MI 49090-9701 Ph: (269) 637-5271 |
Mr. William Dean Gilmer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 955 S Bailey Ave, South Haven, MI 49090 Phone: 269-639-2897 | |
Terri Harsch, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 556 N Shore Dr Lot 3, South Haven, MI 49090 Phone: 435-174-1211 |