Tara Lee Maclaren-gibson, CRNA | |
44405 Woodward Ave, Pontiac, MI 48341-5023 | |
(248) 858-6593 | |
Not Available |
Full Name | Tara Lee Maclaren-gibson |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 19 Years |
Location | 44405 Woodward Ave, Pontiac, 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 |
---|---|---|---|
1720171861 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 47054231671 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Waterford Anesthesia, Pllc | 6901090489 | 15 |
Rochester Medical Associates Pllc | 8729318704 | 24 |
Entity Name | Superior Anesthetists Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831144518 PECOS PAC ID: 5890784987 Enrollment ID: O20040512000785 |
Entity Name | Waterford Anesthesia, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376862474 PECOS PAC ID: 6901090489 Enrollment ID: O20101028000689 |
Entity Name | Michigan Crnas Staffing Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851666424 PECOS PAC ID: 7416105226 Enrollment ID: O20120920000441 |
Entity Name | Rochester Medical Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396398681 PECOS PAC ID: 8729318704 Enrollment ID: O20190918002717 |
Mailing Address | Practice Location Address |
---|---|
Tara Lee Maclaren-gibson, CRNA 255 W Michigan Ave, Jackson, MI 49201-2218 Ph: (517) 787-6440 | Tara Lee Maclaren-gibson, CRNA 44405 Woodward Ave, Pontiac, MI 48341-5023 Ph: (248) 858-6593 |
Wenjing Zhang, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-6593 | |
Allison Michelle Frederick, DNAP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-585-3023 Fax: 248-585-3022 | |
Lindsey Sarnovsky, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3000 | |
Patricia A Waugh, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-6593 | |
Zorica Raveane, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-6593 | |
Stephen Stawicki, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-6593 | |
Steve Barnett, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5516 Fax: 247-338-5547 |