| Brendan Pytlak, CRNA | |
|
5842 Hartwick Dr, West Bloomfield, MI 48324-2417 | |
| (313) 310-2251 | |
| Not Available |
| Full Name | Brendan Pytlak |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 5842 Hartwick Dr, West Bloomfield, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841861879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 4704327400 (Michigan) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 4704327400 (Michigan) | Primary |
| 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 |
|---|---|
| Brendan Pytlak, CRNA 5842 Hartwick Dr, West Bloomfield, MI 48324-2417 Ph: () - | Brendan Pytlak, CRNA 5842 Hartwick Dr, West Bloomfield, MI 48324-2417 Ph: (313) 310-2251 |
Nicole Aurora Radu-yakob, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 6777 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-661-4100 | |
Mrs. Veena Kaul, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6777 W Maple Rd, Department Of Anesthesiology, West Bloomfield, MI 48322 Phone: 248-661-6455 | |
Mrs. Andrea Darlene Urban, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6777 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-661-4100 | |
Mrs. Cheryl Lee Veeck, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6777 W Maple Rd, Department Of Anesthesiology, West Bloomfield, MI 48322 Phone: 248-661-6455 | |
Miss Courtenay Monee' Hall, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6777 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-325-0188 | |
Esther Marie Tillman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6777 W Maple Rd, West Bloomfield, MI 48322 Phone: 800-653-6568 Fax: 313-876-1305 | |
Mrs. Megan Ashley Webb, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6777 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-325-1000 |