| Jeffery J Hanover, CRNA | |
|
4005 Orchard Dr, Midland, MI 48670-0001 | |
| (989) 839-3000 | |
| Not Available |
| Full Name | Jeffery J Hanover |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 26 Years |
| Location | 4005 Orchard Dr, Midland, 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 |
|---|---|---|---|
| 1942390661 | NPI | - | NPPES |
| 4272018 | Medicaid | MI | |
| JH205402 | Other | MI | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704205402 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Midmichigan Medical Center-midland | Midland, MI | Hospital |
| Midmichigan Medical Center-west Branch | West branch, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mymichigan Medical Center Midland | 2264323633 | 414 |
| Mymichigan Medical Center West Branch | 7214251081 | 70 |
| 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 | Mymichigan Medical Center Alpena |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770667149 PECOS PAC ID: 8527969922 Enrollment ID: O20040226000605 |
| Entity Name | Mymichigan Medical Center Midland |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770668683 PECOS PAC ID: 2264323633 Enrollment ID: O20040324001146 |
| Entity Name | Mymichigan Medical Center Clare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417084278 PECOS PAC ID: 7012829773 Enrollment ID: O20040424000282 |
| Entity Name | Andersen Eye Surgery Center Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1124071550 PECOS PAC ID: 6002919073 Enrollment ID: O20070312000403 |
| Entity Name | Mid Michigan Anesthesiology Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932131349 PECOS PAC ID: 3779680715 Enrollment ID: O20070525000318 |
| Entity Name | Mymichigan Medical Center West Branch |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538566765 PECOS PAC ID: 7214251081 Enrollment ID: O20160714002424 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffery J Hanover, CRNA 4513 E Crossroads Dr, Bay City, MI 48706-9611 Ph: (989) 529-5816 | Jeffery J Hanover, CRNA 4005 Orchard Dr, Midland, MI 48670-0001 Ph: (989) 839-3000 |
Richard M Dudzik, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4005 Orchard Dr, Midland, MI 48670 Phone: 989-839-3000 | |
Bernard J Betka, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4005 Orchard Dr, Midland, MI 48670 Phone: 989-839-3000 | |
Donavon Earley, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2107 Laurel Ln, Midland, MI 48642 Phone: 989-750-2335 | |
Karen L Yaworski, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4005 Orchard Dr, Midland, MI 48670 Phone: 989-839-3000 | |
Christine M Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4005 Orchard Dr, Midland, MI 48670 Phone: 989-839-3000 | |
Andrew James Leis, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4000 Wellness Dr, Midland, MI 48670 Phone: 989-839-3000 | |
Hollie Caldwell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4000 Wellness Dr, Midland, MI 48670 Phone: 989-839-3639 |