Raymond D Johnson, CRNA | |
33155 Annapolis St, Wayne, MI 48184-2405 | |
(734) 467-4667 | |
(734) 467-2303 |
Full Name | Raymond D Johnson |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 36 Years |
Location | 33155 Annapolis St, Wayne, 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 |
---|---|---|---|
1164515292 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 4704182937 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Beaumont Hospital - Wayne | Wayne, MI | Hospital |
Ascension Providence Hospital, Southfield And Novi | Southfield, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northstar Anesthesia Of Michigan Iii Pllc | 7911325469 | 510 |
Psj Anesthesia Pc | 8325342488 | 90 |
Entity Name | William Beaumont Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811044878 PECOS PAC ID: 9335051093 Enrollment ID: O20040312000217 |
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 |
Entity Name | Northstar Anesthesia Of Michigan Iii Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972126209 PECOS PAC ID: 7911325469 Enrollment ID: O20200915001990 |
Mailing Address | Practice Location Address |
---|---|
Raymond D Johnson, CRNA 255 W Michigan Ave, Jackson, MI 49201-2218 Ph: (517) 787-6440 | Raymond D Johnson, CRNA 33155 Annapolis St, Wayne, MI 48184-2405 Ph: (734) 467-4667 |
Mrs. Kimberly Ann Harber, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 33155 Annapolis St, Wayne, MI 48184 Phone: 734-467-4000 | |
Carmen G Kislov, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 33155 Annapolis St, Wayne, MI 48184 Phone: 734-467-4667 Fax: 734-467-2303 | |
Estrellita G Lumbo, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 33155 Annapolis St, Wayne, MI 48184 Phone: 734-467-4667 Fax: 734-467-2303 | |
Michelle D Murphy, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 33155 Annapolis St, Wayne, MI 48184 Phone: 734-467-4667 Fax: 734-467-2303 | |
Valerie Maci, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 33155 Annapolis St, Wayne, MI 48184 Phone: 734-467-4667 Fax: 734-467-2303 | |
Linda C Gottron, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 33155 Annapolis St, Wayne, MI 48184 Phone: 734-467-4667 Fax: 734-467-2303 |