| Donna A Dzialo, CRNA | |
|
1101 West University Drive, Crittenton Hospital Medical Center, Rochester, MI 48307-1863 | |
| (248) 652-5354 | |
| (248) 652-5861 |
| Full Name | Donna A Dzialo |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 26 Years |
| Location | 1101 West University Drive, Rochester, 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 |
|---|---|---|---|
| 1093868234 | NPI | - | NPPES |
| 4368763 | Medicaid | MI | |
| 11909797 | Other | MI | CAQH |
| 430F364550 | Other | MI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704210409 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Providence - Crittenton Hospital Medical Center | Rochester, MI | Hospital |
| Beaumont Hospital, Troy | Troy, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of Michigan Iii Pllc | 7911325469 | 522 |
| Ascension Providence Rochester Hospital | 8820994098 | 89 |
| Entity Name | Ascension Providence Rochester Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235252321 PECOS PAC ID: 8820994098 Enrollment ID: O20031209000552 |
| 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 | Asa Staffing Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114378981 PECOS PAC ID: 3971898644 Enrollment ID: O20160818002713 |
| 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 |
| Entity Name | Nsa Pain Services Of Michigan Iii, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376169524 PECOS PAC ID: 8921428996 Enrollment ID: O20201013000578 |
| Mailing Address | Practice Location Address |
|---|---|
| Donna A Dzialo, CRNA 5717 Cannes Dr, Sterling Heights, MI 48314-1342 Ph: () - | Donna A Dzialo, CRNA 1101 West University Drive, Crittenton Hospital Medical Center, Rochester, MI 48307-1863 Ph: (248) 652-5354 |
Mr. Dominic John Tironi, CRNA, DNAP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1101 W University Dr, Rochester, MI 48307 Phone: 248-652-5000 | |
Daniel Joost, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1101 W University Dr, Rochester, MI 48307 Phone: 248-652-5000 | |
David L Becker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1101 W University Dr, Rochester, MI 48307 Phone: 248-652-5354 | |
Mary Anne Johnson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1101 W University Dr, Rochester, MI 48307 Phone: 248-652-5354 Fax: 248-652-5861 | |
Mr. Christopher Thomas Pichette, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1101 W University Dr, Rochester, MI 48307 Phone: 248-652-5354 Fax: 248-652-5861 | |
Mrs. Lynsey Marie Bagos, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1101 W University Dr, Rochester, MI 48307 Phone: 248-652-5354 Fax: 248-652-5861 |