| Jaclyn M Stockoski, CRNA | |
|
3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | |
| (248) 898-7784 | |
| Not Available |
| Full Name | Jaclyn M Stockoski |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 15 Years |
| Location | 3601 W 13 Mile Rd, Royal Oak, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093019747 | NPI | - | NPPES |
| 430F364420 | Other | MI | BCBSM |
| 1093019747 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704253212 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Paragon Anesthesia Pllc | 4789096942 | 10 |
| Entity Name | American Anesthesiology Of Michigan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487609475 PECOS PAC ID: 5294648804 Enrollment ID: O20031110000617 |
| 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 | Superior Anesthetists Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831144518 PECOS PAC ID: 5890784987 Enrollment ID: O20040512000785 |
| 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 | Paragon Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356940670 PECOS PAC ID: 4789096942 Enrollment ID: O20201210003133 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaclyn M Stockoski, CRNA 130 Town Center Dr Ste 203, Beaumont Physician Partners Payor Enrollment, Troy, MI 48084-1744 Ph: () - | Jaclyn M Stockoski, CRNA 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 Ph: (248) 898-7784 |
Amie Hamper, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-7784 Fax: 248-898-8181 | |
Michelle Glaeser, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, 400 Fsc - Pcs, Royal Oak, MI 48073 Phone: 248-423-3144 | |
Thomas Lundblad, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 3601 W 13 Mile Rd, 400 Fsc - Pcs, Royal Oak, MI 48073 Phone: 248-423-3144 | |
Patricia Ljubic, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, 400 Fsc - Pcs, Royal Oak, MI 48073 Phone: 248-423-3144 | |
Catherine Wolfson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3601 W. 13 Mile Rd, 400 Fsc-pcs, Royal Oak, MI 48073 Phone: 248-423-2481 | |
Nancy Berner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Beaumont Hospital - Royal Oak, Royal Oak, MI 48073 Phone: 248-898-7784 Fax: 248-898-8181 | |
Steven Rich, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 3601 W. 13 Mile Rd, 400 Fsc-pcs, Royal Oak, MI 48073 Phone: 248-423-2481 |