| Jillian Hennessy Aldanal, | |
|
2601 Electric Ave, Port Huron, MI 48060-6587 | |
| (810) 985-1500 | |
| Not Available |
| Full Name | Jillian Hennessy Aldanal |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 13 Years |
| Location | 2601 Electric Ave, Port Huron, 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 |
|---|---|---|---|
| 1215353032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704285875 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Promedica Toledo Hospital | Toledo, OH | Hospital |
| Henry Ford West Bloomfield Hospital | West bloomfield, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Henry Ford West Bloomfield Hospital | 2264589449 | 88 |
| Northwestern Services Llc | 4486723657 | 40 |
| Promedica Central Physicians | 2365348190 | 830 |
| Entity Name | Ascension Providence Rochester Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235252321 PECOS PAC ID: 8820994098 Enrollment ID: O20031209000552 |
| Entity Name | Henry Ford Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871666479 PECOS PAC ID: 0547178311 Enrollment ID: O20040124000368 |
| Entity Name | Jawad A Shah, Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942402391 PECOS PAC ID: 5799779633 Enrollment ID: O20040413000798 |
| Entity Name | Northwestern Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215106679 PECOS PAC ID: 4486723657 Enrollment ID: O20080514000823 |
| Entity Name | Henry Ford West Bloomfield Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518104686 PECOS PAC ID: 2264589449 Enrollment ID: O20090403000176 |
| Entity Name | Michigan Crnas Staffing Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851666424 PECOS PAC ID: 7416105226 Enrollment ID: O20120920000441 |
| Entity Name | West Michigan Aas Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295149227 PECOS PAC ID: 9931324076 Enrollment ID: O20140707000372 |
| Entity Name | Alliance Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063880052 PECOS PAC ID: 0143538769 Enrollment ID: O20151001001050 |
| Entity Name | Prime Healthcare Services-port Huron Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306227764 PECOS PAC ID: 7214245208 Enrollment ID: O20151123000133 |
| 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 |
|---|---|
| Jillian Hennessy Aldanal, 1974 Klingensmith Rd, Unit 4a, Bloomfield Hills, MI 48302-0274 Ph: () - | Jillian Hennessy Aldanal, 2601 Electric Ave, Port Huron, MI 48060-6587 Ph: (810) 985-1500 |
Philip Ross Lepine, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000 | |
Mr. Todd D Boswell, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2601 Electric Ave, Port Huron, MI 48060 Phone: 810-985-1550 Fax: 810-966-3104 | |
Patrina Quinn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000 | |
David John Arden, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000 Fax: 810-985-2633 | |
Sherry Lynn Bombardo, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-985-7000 Fax: 810-985-2633 | |
Carrie L Cook, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 952-442-9770 Fax: 952-442-3620 | |
Lynn A Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000 Fax: 952-442-3620 |