| Andrew Joseph Boggs, CRNA | |
|
5450 Fort St, Trenton, MI 48183-4601 | |
| (734) 671-3800 | |
| Not Available |
| Full Name | Andrew Joseph Boggs |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 11 Years |
| Location | 5450 Fort St, Trenton, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902270911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 4704266309 (Michigan) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 4704266309 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joe Mercy Hospital System Livonia | Livonia, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anupama Shah Md Plc | 1850579855 | 10 |
| St Mary Mercy Hospital Crna | 8820163538 | 55 |
| Entity Name | St Mary Mercy Hospital Crna |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063602092 PECOS PAC ID: 8820163538 Enrollment ID: O20080814000520 |
| Entity Name | Anupama Shah Md Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679864623 PECOS PAC ID: 1850579855 Enrollment ID: O20110622000154 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Joseph Boggs, CRNA 2006 Hogback Rd, Suite 5a, Ann Arbor, MI 48105-9750 Ph: (734) 786-2317 | Andrew Joseph Boggs, CRNA 5450 Fort St, Trenton, MI 48183-4601 Ph: (734) 671-3800 |
Paul Richard Emmons Iii, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 5450 Fort St, Trenton, MI 48183 Phone: 734-671-3800 | |
David A Glancy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5450 Fort St, Trenton, MI 48183 Phone: 734-671-3666 Fax: 734-671-3185 | |
Ms. Rachelle M Francis, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 5450 Fort St, Trenton, MI 48183 Phone: 734-671-3800 | |
Krystle Marie Dorobek, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5450 Fort Street, Anesthesia Department, Trenton, MI 48183 Phone: 734-671-6800 | |
Mrs. Joy Ann Girvan, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4851 Gail Ct, Trenton, MI 48183 Phone: 734-671-9907 | |
Mrs. Joanna Pennywell, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2181 Sheraton Dr, Trenton, MI 48183 Phone: 313-401-6739 | |
Timothy Adamovich, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 5450 Fort St, Trenton, MI 48183 Phone: 734-671-3883 |