| Glenn Woudenberg, CRNA | |
|
8333 Felch St, Zeeland, MI 49464-2608 | |
| (616) 364-4200 | |
| (616) 364-7347 |
| Full Name | Glenn Woudenberg |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 26 Years |
| Location | 8333 Felch St, Zeeland, 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 |
|---|---|---|---|
| 1598790693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 041301911 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 4704199728 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Spectrum Health | Grand rapids, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Michigan Anesthesia Pc | 1355243551 | 181 |
| Entity Name | Kalamazoo Anesthesiology P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407821796 PECOS PAC ID: 3375449473 Enrollment ID: O20031210000078 |
| Entity Name | West Michigan Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225016926 PECOS PAC ID: 1355243551 Enrollment ID: O20040127000018 |
| Entity Name | Northstar Anesthesia Of Michigan Ii Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437268026 PECOS PAC ID: 7911895164 Enrollment ID: O20040309000625 |
| Entity Name | Saint Marys Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124063078 PECOS PAC ID: 4981500436 Enrollment ID: O20040329001233 |
| Entity Name | Anesthesia Medical Consultants, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063710689 PECOS PAC ID: 3678751658 Enrollment ID: O20110621000722 |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn Woudenberg, CRNA 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 Ph: (616) 364-4200 | Glenn Woudenberg, CRNA 8333 Felch St, Zeeland, MI 49464-2608 Ph: (616) 364-4200 |
Mrs. Kaitlin Vanlente, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8333 Felch St, Zeeland, MI 49464 Phone: 616-935-6200 | |
Jessica Lerch Zoller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8333 Felch St, Zeeland, MI 49464 Phone: 616-935-6200 |