| Brad Smith, CRNA | |
|
6071 W Outer Dr, Detroit, MI 48235-2624 | |
| (952) 442-9770 | |
| Not Available |
| Full Name | Brad Smith |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 6071 W Outer Dr, Detroit, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932166014 | NPI | - | NPPES |
| BS214534 | Other | MI | BLUE CROSS OF MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | BS214534 (Michigan) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Brad Smith, CRNA Dept 203401, Po Box 67000, Detroit, MI 48267-0001 Ph: (952) 442-9770 | Brad Smith, CRNA 6071 W Outer Dr, Detroit, MI 48235-2624 Ph: (952) 442-9770 |
Kimberly Dawn Harris, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3990 John R St, Detroit, MI 48201 Phone: 313-745-8521 | |
Caroline L Talbert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3990 John R St, Detroit, MI 48201 Phone: 313-745-7600 Fax: 952-442-3620 | |
Kyle Krupa, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Lisa Zetuna, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Dr. Timothy Turner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-8078 | |
Ms. Laura Lynn Rivera, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Elizabeth Anne Ranella, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4201 Saint Antoine St, Detroit, MI 48201 Phone: 952-442-9770 Fax: 952-442-3630 |