| Benjamin James Dehaan, CRNA | |
|
400 Hobart St, Cadillac, MI 49601-2331 | |
| (231) 876-7301 | |
| (231) 876-7310 |
| Full Name | Benjamin James Dehaan |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 4 Years |
| Location | 400 Hobart St, Cadillac, 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 |
|---|---|---|---|
| 1700540663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1700540663 (Michigan) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 34242 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Saint Thomas Hospital | Nashville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Medical Group, P.c. | 6901702307 | 439 |
| Entity Name | Anesthesia Medical Group, P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215932413 PECOS PAC ID: 6901702307 Enrollment ID: O20031208000822 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin James Dehaan, CRNA 1105 Sixth St, Traverse City, MI 49684-2345 Ph: (231) 935-5000 | Benjamin James Dehaan, CRNA 400 Hobart St, Cadillac, MI 49601-2331 Ph: (231) 876-7301 |
Gregory Glasby Sr., CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 400 Hobart St, Cadillac, MI 49601 Phone: 231-876-7200 |
Marie Lynne Van Til, DNP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 400 Hobart St, Cadillac, MI 49601 Phone: 231-876-7200 |
Diane Hamilton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 Hobart St, Cadillac, MI 49601 Phone: 231-876-7301 Fax: 231-876-7300 |