| Faith I Mbanugo, CRNA | |
|
18100 Oakwood Blvd, Suite 100, Dearborn, MI 48124-4071 | |
| (313) 253-2000 | |
| Not Available |
| Full Name | Faith I Mbanugo |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 24 Years |
| Location | 18100 Oakwood Blvd, Dearborn, 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 |
|---|---|---|---|
| 1265484174 | NPI | - | NPPES |
| 4835483 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704210775 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaumont Hospital - Wayne | Wayne, MI | Hospital |
| Promedica Toledo Hospital | Toledo, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Promedica Central Physicians | 2365348190 | 790 |
| Northstar Anesthesia Of Michigan Iii Pllc | 7911325469 | 568 |
| Entity Name | Dayton Anesthesia & Pain Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629401898 PECOS PAC ID: 8022245372 Enrollment ID: O20131212001655 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20201013000268 |
| Mailing Address | Practice Location Address |
|---|---|
| Faith I Mbanugo, CRNA 18100 Oakwood Blvd, Suite 100, Dearborn, MI 48124-4071 Ph: (313) 253-2000 | Faith I Mbanugo, CRNA 18100 Oakwood Blvd, Suite 100, Dearborn, MI 48124-4071 Ph: (313) 253-2000 |
Megan Nicole Sanborn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-436-2374 | |
Ban Batu, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18100 Oakwood Blvd Ste 100, Dearborn, MI 48124 Phone: 313-253-2030 | |
Michael Kroll, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 18101 Oakwood Blvd, Anesthesia Dept, Dearborn, MI 48124 Phone: 313-593-7820 Fax: 313-593-8894 | |
Michele L Mack, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18100 Oakwood Blvd, Suite 100, Dearborn, MI 48124 Phone: 313-253-2000 | |
Melody Y Lowe, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 18100 Oakwood Blvd, Suite 100, Dearborn, MI 48124 Phone: 313-253-2000 Fax: 313-253-2028 | |
Robert F Mrowka, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 18101 Oakwood Blvd, Anesthesia Dept, Dearborn, MI 48124 Phone: 313-593-7820 Fax: 313-593-8894 | |
Calvin Stewart, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 18100 Oakwood Blvd, Suite 100, Dearborn, MI 48124 Phone: 313-253-2000 |