| Bethany Grupido, RN | |
|
5870 Pine Knob Rd, Clarkston, MI 48346-3281 | |
| (248) 705-3372 | |
| Not Available |
| Full Name | Bethany Grupido |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 3 Years |
| Location | 5870 Pine Knob Rd, Clarkston, Michigan |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164094140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704292923 (Michigan) | Primary |
| 163W00000X | Registered Nurse | 4704292923 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of Michigan Iii Pllc | 7911325469 | 522 |
| Entity Name | Northstar Anesthesia Of Michigan Iii Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972126209 PECOS PAC ID: 7911325469 Enrollment ID: O20200915001990 |
| Mailing Address | Practice Location Address |
|---|---|
| Bethany Grupido, RN 5870 Pine Knob Rd, Clarkston, MI 48346-3281 Ph: (248) 705-3372 | Bethany Grupido, RN 5870 Pine Knob Rd, Clarkston, MI 48346-3281 Ph: (248) 705-3372 |
Rosemary Flemming, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8595 Holcomb Rd, Clarkston, MI 48348 Phone: 734-740-5606 | |
Tamara Davila, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6628 College Park, Clarkston, MI 48346 Phone: 248-563-6323 | |
Mr. Thomas J Plunkett Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5173 Iroquois Ct, Clarkston, MI 48348 Phone: 248-394-0186 |