Russell Glyn Rader, CRNA | |
703 Mcewan, Clare, MI 48617 | |
(989) 802-8875 | |
(989) 802-8866 |
Full Name | Russell Glyn Rader |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 703 Mcewan, Clare, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629023403 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 4704143484 (Michigan) | Primary |
Entity Name | Mymichigan Medical Center Clare |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417084278 PECOS PAC ID: 7012829773 Enrollment ID: O20040424000282 |
Entity Name | Sparrow Carson Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396789798 PECOS PAC ID: 7113836701 Enrollment ID: O20040527000622 |
Entity Name | Mymichigan Medical Center Gladwin |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881869774 PECOS PAC ID: 0143262915 Enrollment ID: O20081024000094 |
Entity Name | Mymichigan Medical Center West Branch |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538566765 PECOS PAC ID: 7214251081 Enrollment ID: O20160714002424 |
Mailing Address | Practice Location Address |
---|---|
Russell Glyn Rader, CRNA 9975 Timber Ridge Rd, Farwell, MI 48622 Ph: (989) 802-8875 | Russell Glyn Rader, CRNA 703 Mcewan, Clare, MI 48617 Ph: (989) 802-8875 |
William R Groves, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 703 N Mcewan St, Clare, MI 48617 Phone: 989-802-5000 | |
Marc Alexander Dean, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 703 N Mcewan St, Clare, MI 48617 Phone: 989-802-5000 | |
Mr. Eric William Houk, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 703 N Mcewan St, Clare, MI 48617 Phone: 989-802-5000 |