Jerel Rubio, | |
18101 Oakwood Blvd, Dearborn, MI 48124-4089 | |
(313) 593-7000 | |
Not Available |
Full Name | Jerel Rubio |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 18101 Oakwood Blvd, Dearborn, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043056393 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 4704324747 (Michigan) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 4704324747 (Michigan) | Primary |
Entity Name | Northstar Anesthesia Of Michigan Iii Pllc |
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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 |
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Jerel Rubio, 329 E Lawrence Ave, Royal Oak, MI 48073-3449 Ph: (248) 227-9536 | Jerel Rubio, 18101 Oakwood Blvd, Dearborn, MI 48124-4089 Ph: (313) 593-7000 |
Megan Nicole Sanborn, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-436-2374 | |
Ban Batu, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 18100 Oakwood Blvd Ste 100, Dearborn, MI 48124 Phone: 313-253-2030 | |
Michael Kroll, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 18101 Oakwood Blvd, Anesthesia Dept, Dearborn, MI 48124 Phone: 313-593-7820 Fax: 313-593-8894 | |
Michele L Mack, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18100 Oakwood Blvd, Suite 100, Dearborn, MI 48124 Phone: 313-253-2000 | |
Melody Y Lowe, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 18100 Oakwood Blvd, Suite 100, Dearborn, MI 48124 Phone: 313-253-2000 Fax: 313-253-2028 | |
Robert F Mrowka, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 18101 Oakwood Blvd, Anesthesia Dept, Dearborn, MI 48124 Phone: 313-593-7820 Fax: 313-593-8894 | |
Calvin Stewart, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 18100 Oakwood Blvd, Suite 100, Dearborn, MI 48124 Phone: 313-253-2000 |