| Jeffery James Johnson, CRNA | |
|
23901 Lahser Rd, Southfield, MI 48033-6035 | |
| (248) 357-3360 | |
| Not Available |
| Full Name | Jeffery James Johnson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 21 Years |
| Location | 23901 Lahser Rd, Southfield, 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 |
|---|---|---|---|
| 1699720185 | NPI | - | NPPES |
| 104692611 | Medicaid | MI | |
| JJ215208 | Other | MI | BLUE CROSS OF MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704215208 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Straith Hospital For Special Surgery | Southfield, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Straith Hospital For Special Surgery | 1153210067 | 11 |
| Long Lake Anesthesiology Consultants Plc | 7113818980 | 68 |
| Entity Name | Straith Hospital For Special Surgery |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548268436 PECOS PAC ID: 1153210067 Enrollment ID: O20040310001337 |
| Entity Name | Ambulatory Anesthesia Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952350555 PECOS PAC ID: 5092729020 Enrollment ID: O20060130000526 |
| 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 | Asa Staffing Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114378981 PECOS PAC ID: 3971898644 Enrollment ID: O20160818002713 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffery James Johnson, CRNA 2173 Decker Rd Apt 48, Walled Lake, MI 48390-2509 Ph: (248) 701-7782 | Jeffery James Johnson, CRNA 23901 Lahser Rd, Southfield, MI 48033-6035 Ph: (248) 357-3360 |
Mary Lynn Meisel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-5806 Fax: 248-849-5489 | |
Tracy Chase Groves, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-5806 Fax: 248-849-5489 | |
Timothy Erdmann, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-349-4000 | |
Earl G Auty, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-5806 Fax: 248-849-5489 | |
Deborah A Dulman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-5806 Fax: 248-849-5489 | |
Sean O'neill, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000 | |
Christina Anne O'brien, M.S., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000 |