| Jaclyn N Thweatt, CRNA | |
|
1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | |
| (810) 610-9618 | |
| Not Available |
| Full Name | Jaclyn N Thweatt |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 6 Years |
| Location | 1 Genesys Pkwy, Grand Blanc, 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 |
|---|---|---|---|
| 1467096594 | NPI | - | NPPES |
| 4704295540 | Other | MI | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN.468432 (Ohio) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 4704295540 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Providence Hospital, Southfield And Novi | Southfield, MI | Hospital |
| Covenant Medical Center | Saginaw, MI | Hospital |
| Sparrow Carson Hospital | Carson city, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Covenant Medical Center, Inc. | 2769387778 | 452 |
| Ascension Providence Hospital | 6103738703 | 290 |
| Sparrow Carson Hospital | 7113836701 | 49 |
| Psj Anesthesia Pc | 8325342488 | 72 |
| Entity Name | Sparrow Clinton Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396827952 PECOS PAC ID: 5395658850 Enrollment ID: O20031111000063 |
| Entity Name | Sparrow Carson Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598490542 PECOS PAC ID: 7113836701 Enrollment ID: O20040126000046 |
| Entity Name | Covenant Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225151897 PECOS PAC ID: 2769387778 Enrollment ID: O20040209001142 |
| Entity Name | Sparrow Eaton Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043419427 PECOS PAC ID: 0042103509 Enrollment ID: O20040213000368 |
| Entity Name | Jawad A Shah, Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942402391 PECOS PAC ID: 5799779633 Enrollment ID: O20040413000798 |
| Entity Name | Ascension Providence Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851339196 PECOS PAC ID: 6103738703 Enrollment ID: O20040610001584 |
| Entity Name | Ascension Genesys Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558517367 PECOS PAC ID: 2062323033 Enrollment ID: O20081029000720 |
| Entity Name | Sparrow Clinton Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1093809824 PECOS PAC ID: 5395658850 Enrollment ID: O20111222000366 |
| Entity Name | Alliance Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063880052 PECOS PAC ID: 0143538769 Enrollment ID: O20151001001050 |
| Entity Name | Psj Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275905796 PECOS PAC ID: 8325342488 Enrollment ID: O20160210000814 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaclyn N Thweatt, CRNA 7156 Manor Ln, Fowlerville, MI 48836-9796 Ph: (248) 880-2876 | Jaclyn N Thweatt, CRNA 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 Ph: (810) 610-9618 |
Robert Myron Fedorow, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 586-524-0854 | |
William Schultz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Genesys Pkwy, Anesthesia Office, Grand Blanc, MI 48439 Phone: 810-606-6499 | |
Lulu A Robbins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-6499 Fax: 810-606-7245 | |
Jill Ellen Day, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-6499 Fax: 810-606-7245 | |
Sarah Angela Baker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-6499 | |
Kimberly Carpenter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2432 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-6499 | |
Jodi M Delaney, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-6499 |