Reata F Mayo, CRNA | |
580 W College Ave, Marquette, MI 49855-2705 | |
(906) 225-3406 | |
(906) 225-3094 |
Full Name | Reata F Mayo |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 31 Years |
Location | 580 W College Ave, Marquette, 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 |
---|---|---|---|
1972585792 | NPI | - | NPPES |
430024327 | Other | MI | RAILROAD MEDICARE PIN |
RJ128421 | Other | MI | BLUESHIELD PIN |
103133127 | Medicaid | MI | |
43400500 | Other | WI | WISC MEDICAID PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 4704128421 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Marquette General Hospital | Marquette, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesiology Of Marquette, P.c. | 6103851712 | 26 |
Entity Name | Anesthesiology Of Marquette, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225039639 PECOS PAC ID: 6103851712 Enrollment ID: O20051003000636 |
Mailing Address | Practice Location Address |
---|---|
Reata F Mayo, CRNA 1347 Ortman Rd, Marquette, MI 49855 Ph: (906) 249-3999 | Reata F Mayo, CRNA 580 W College Ave, Marquette, MI 49855-2705 Ph: (906) 225-3406 |
Peter Skellenger, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 714 Spruce St, Apt #e, Marquette, MI 49855 Phone: 906-399-3611 | |
Sandra L Wachter, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-225-3406 Fax: 906-225-3094 | |
Janet M Simula, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-225-3406 Fax: 906-225-3094 | |
Kenneth L Mcneely, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-225-3406 Fax: 906-225-3094 | |
Lisa A Kuopus, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-225-3406 Fax: 906-225-3094 | |
Joseph Morris Holcomb, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-225-3595 | |
Laura V Brouillette, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-228-9440 |