| Jacqueline Bauer, | |
|
16950 Buckingham Ave, Beverly Hills, MI 48025-3200 | |
| (269) 547-7318 | |
| (269) 547-7318 |
| Full Name | Jacqueline Bauer |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 3 Years |
| Location | 16950 Buckingham Ave, Beverly Hills, 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 |
|---|---|---|---|
| 1891474771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 4704406848 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaumont Hospital - Dearborn | Dearborn, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of Michigan Iii Pllc | 7911325469 | 522 |
| Entity Name | Northstar Anesthesia Of Michigan Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871986372 PECOS PAC ID: 9638481591 Enrollment ID: O20150707000070 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Bauer, 16950 Buckingham Ave, Beverly Hills, MI 48025-3200 Ph: () - | Jacqueline Bauer, 16950 Buckingham Ave, Beverly Hills, MI 48025-3200 Ph: (269) 547-7318 |
Lisa Ann Gulker, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 30125 Leemoor St, Beverly Hills, MI 48025 Phone: 313-573-8727 | |
Sarah Alyse Casey, N.P. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 32346 Arlington Dr, Beverly Hills, MI 48025 Phone: 248-504-1459 | |
Mrs. Carol Jean Paul, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 31064 Old Stage Rd, Beverly Hills, MI 48025 Phone: 248-642-0316 |