| Jacqueline L Spatafora, CRNA | |
|
790 Kensington Ln, Bloomfield Hills, MI 48304-3744 | |
| (734) 241-3891 | |
| (734) 241-0014 |
| Full Name | Jacqueline L Spatafora |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 37 Years |
| Location | 790 Kensington Ln, Bloomfield Hills, 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 |
|---|---|---|---|
| 1538148986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704140367 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St John Hospital | Detroit, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension St John Hospital | 3173424082 | 305 |
| Entity Name | Lakeside Anesthesia Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073534947 PECOS PAC ID: 7517861628 Enrollment ID: O20031120000879 |
| Entity Name | Ascension St John Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598896995 PECOS PAC ID: 3173424082 Enrollment ID: O20040130000407 |
| Entity Name | Comprehensive Anesthesia & Perioperative Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245202241 PECOS PAC ID: 1355244757 Enrollment ID: O20040202000363 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline L Spatafora, CRNA 5623 E Dunbar Rd, Monroe, MI 48161-9127 Ph: (734) 241-3891 | Jacqueline L Spatafora, CRNA 790 Kensington Ln, Bloomfield Hills, MI 48304-3744 Ph: (734) 241-3891 |
Martie Reigle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 790 Kensington Ln, Bloomfield Hills, MI 48304 Phone: 734-241-3891 Fax: 734-241-0014 | |
Susan M Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 790 Kensington Ln, Bloomfield Hills, MI 48304 Phone: 734-241-3891 Fax: 734-241-0014 | |
Anne M Hranchook, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 790 Kensington Ln, Bloomfield Hills, MI 48304 Phone: 734-241-3891 Fax: 734-241-0014 | |
Debra A Macarthur, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 790 Kensington Ln, Bloomfield Hills, MI 48304 Phone: 734-241-3891 Fax: 734-241-0014 | |
Alan Gerald Smith, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1009 Top View Rd, Bloomfield Hills, MI 48304 Phone: 248-894-8467 | |
Mrs. Maria V. Hanley, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 246 Hamilton Rd, Please Select, Bloomfield Hills, MI 48301 Phone: 248-703-1625 | |
Kendall Gadd, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3760 Peabody Dr, Bloomfield Hills, MI 48301 Phone: 248-670-9808 |