Stacey L Devries, CRNA | |
4100 Park Forest Dr, Suite 210, Traverse City, MI 49684-7331 | |
(231) 935-5770 | |
(231) 935-0747 |
Full Name | Stacey L Devries |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 13 Years |
Location | 4100 Park Forest Dr, Traverse City, 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 |
---|---|---|---|
1851686448 | NPI | - | NPPES |
1851686448 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 4704230441 (Michigan) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 4704230441 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Midmichigan Medical Center-gratiot | Alma, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Monaco Management Llc | 9739577461 | 12 |
Entity Name | Mid Michigan Anesthesiology Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932131349 PECOS PAC ID: 3779680715 Enrollment ID: O20070525000318 |
Entity Name | Caspian Anesthesia Management Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205437688 PECOS PAC ID: 0840603122 Enrollment ID: O20210105002154 |
Entity Name | Monaco Management Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568125177 PECOS PAC ID: 9739577461 Enrollment ID: O20211028001726 |
Mailing Address | Practice Location Address |
---|---|
Stacey L Devries, CRNA 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684-7331 Ph: (231) 935-5770 | Stacey L Devries, CRNA 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684-7331 Ph: (231) 935-5770 |
Scott Stone, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684 Phone: 231-935-5770 Fax: 231-935-0747 | |
Christina Dalton Pryde, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684 Phone: 231-935-5770 Fax: 231-935-0747 | |
Mitchell Reynolds, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684 Phone: 231-935-5770 Fax: 231-935-0747 | |
Jonathan P Gunsberg, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684 Phone: 231-935-5770 Fax: 231-935-0747 | |
Reid Compagner, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: Munson Medical Center, 1105 Sixth Street, Traverse City, MI 49684 Phone: 231-935-7690 | |
Michelle Hodges, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684 Phone: 231-935-5770 Fax: 231-935-0747 | |
Mona L Mackey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684 Phone: 231-935-5770 Fax: 231-935-0747 |