| Anthony V Agrusa, CRNA | |
|
1221 Pine Grove Ave, Port Huron, MI 48060-3511 | |
| (810) 989-3754 | |
| (810) 985-2633 |
| Full Name | Anthony V Agrusa |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 35 Years |
| Location | 1221 Pine Grove Ave, Port Huron, 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 |
|---|---|---|---|
| 1497704670 | NPI | - | NPPES |
| 4704158283 | Other | MI | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704158283 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Harper University Hospital | Detroit, MI | Hospital |
| Karmanos Cancer Center | Detroit, MI | Hospital |
| Detroit Receiving Hospital | Detroit, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kuldip S Deogun Md Pc | 3678580966 | 7 |
| Conquest Pain Management Llc | 6608167234 | 5 |
| Northstar Anesthesia Of Michigan Pllc | 9638481591 | 172 |
| Entity Name | Kuldip S Deogun Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548207467 PECOS PAC ID: 3678580966 Enrollment ID: O20060310000544 |
| Entity Name | Northstar Anesthesia Of Michigan Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871986372 PECOS PAC ID: 9638481591 Enrollment ID: O20150707000070 |
| Entity Name | Prime Healthcare Services-port Huron Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306227764 PECOS PAC ID: 7214245208 Enrollment ID: O20151123000133 |
| Entity Name | University Pain Clinic Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598138661 PECOS PAC ID: 3870894892 Enrollment ID: O20151216002653 |
| Entity Name | Conquest Pain Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164871216 PECOS PAC ID: 6608167234 Enrollment ID: O20160629000090 |
| Entity Name | Asa Staffing Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114378981 PECOS PAC ID: 3971898644 Enrollment ID: O20160818002713 |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony V Agrusa, CRNA 1221 Pine Grove Ave, Port Huron, MI 48060-3511 Ph: (810) 989-3754 | Anthony V Agrusa, CRNA 1221 Pine Grove Ave, Port Huron, MI 48060-3511 Ph: (810) 989-3754 |
Philip Ross Lepine, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000 | |
Mr. Todd D Boswell, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2601 Electric Ave, Port Huron, MI 48060 Phone: 810-985-1550 Fax: 810-966-3104 | |
Patrina Quinn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000 | |
David John Arden, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000 Fax: 810-985-2633 | |
Sherry Lynn Bombardo, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-985-7000 Fax: 810-985-2633 | |
Carrie L Cook, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 952-442-9770 Fax: 952-442-3620 | |
Lynn A Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000 Fax: 952-442-3620 |