| Kelly Jo Bauman, CRNA | |
|
401 S Ballenger Hwy, Flint, MI 48532-3638 | |
| (810) 342-2728 | |
| Not Available |
| Full Name | Kelly Jo Bauman |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 401 S Ballenger Hwy, Flint, 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 |
|---|---|---|---|
| 1225407901 | NPI | - | NPPES |
| 4704221562 | Other | MI | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704221562 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry Ford Macomb Hospital | Clinton township, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Henry Ford Macomb Hospital Corporation | 7911808381 | 304 |
| Rochester Medical Associates Pllc | 8729318704 | 20 |
| Entity Name | Henry Ford Macomb Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528130739 PECOS PAC ID: 7911808381 Enrollment ID: O20040522000104 |
| Entity Name | Rochester Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396398681 PECOS PAC ID: 8729318704 Enrollment ID: O20190918002717 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Jo Bauman, CRNA 2541 Gorlad St, Lake Orion, MI 48360-2203 Ph: () - | Kelly Jo Bauman, CRNA 401 S Ballenger Hwy, Flint, MI 48532-3638 Ph: (810) 342-2728 |
Rebecca S Moody, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 S Ballenger Hwy, Flint, MI 48532 Phone: 810-342-2000 | |
Nicole Elise Wesley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 S Ballenger Hwy, Attn Surgical Services, Flint, MI 48532 Phone: 810-342-4917 Fax: 810-342-1335 | |
James Steven Buster, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 303 E Kearsley St, Flint, MI 48502 Phone: 810-762-3275 | |
Mr. William A. Barron, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Hurley Plz, Flint, MI 48503 Phone: 810-257-9000 Fax: 810-760-0440 | |
Brent Allen Scott, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 S Ballenger Hwy, Attn Surgical Services, Flint, MI 48532 Phone: 810-342-4917 Fax: 810-342-1335 | |
Robin L Zerka, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 S Ballenger Hwy, Attn Surgical Services, Flint, MI 48532 Phone: 810-342-4917 Fax: 810-342-1335 | |
Margaret Joy Larobardiere, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 S Ballenger Hwy, Attn Surgical Services, Flint, MI 48532 Phone: 810-342-4917 Fax: 810-342-1335 |