| Brian Bengtson, | |
|
15855 19 Mile Rd, Clinton Township, MI 48038-3504 | |
| (586) 263-2370 | |
| Not Available |
| Full Name | Brian Bengtson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 18 Years |
| Location | 15855 19 Mile Rd, Clinton Township, 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 |
|---|---|---|---|
| 1881830487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704235038 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry Ford Macomb Hospital | Clinton township, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Henry Ford Macomb Hospital Corporation | 7911808381 | 304 |
| Entity Name | Ascension St John Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598896995 PECOS PAC ID: 3173424082 Enrollment ID: O20040130000407 |
| Entity Name | William Beaumont Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811044878 PECOS PAC ID: 9335051093 Enrollment ID: O20040312000217 |
| Entity Name | Henry Ford Macomb Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528130739 PECOS PAC ID: 7911808381 Enrollment ID: O20040522000104 |
| Entity Name | Waterford Anesthesia, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376862474 PECOS PAC ID: 6901090489 Enrollment ID: O20101028000689 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Bengtson, 22101 Moross, Detroit, MI 48264 Ph: (313) 343-4000 | Brian Bengtson, 15855 19 Mile Rd, Clinton Township, MI 48038-3504 Ph: (586) 263-2370 |
Mrs. Jennifer Lynn Pagaduan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 35369 Blairmoor Dr, Clinton Township, MI 48035 Phone: 586-484-9916 | |
Antonio Denkovski, DNP, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2300 | |
Teresa Ellen Kay, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2300 | |
Taylor Barnhart, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2300 | |
Katie N Kozeli, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2978 | |
Brittany Kay Garrison, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2375 | |
Craig Cordeiro, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2978 |