| Kelly Marie Mathison, | |
|
703 N Mcewan St, Clare, MI 48617-1440 | |
| (898) 802-5000 | |
| Not Available |
| Full Name | Kelly Marie Mathison |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 15 Years |
| Location | 703 N Mcewan St, Clare, 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 |
|---|---|---|---|
| 1073881629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704254007 (Michigan) | Primary |
| 163W00000X | Registered Nurse | 4704254007 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mymichigan Medical Center Clare | Clare, MI | Hospital |
| Mymichigan Medical Center Gladwin | Gladwin, MI | Hospital |
| Mymichigan Medical Center Midland | Midland, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mymichigan Medical Center Midland | 2264323633 | 507 |
| Mymichigan Medical Center Gladwin | 0143262915 | 66 |
| Mymichigan Medical Center Clare | 7012829773 | 128 |
| Resource Anesthesiology Associates Of Mi Pc | 4082883053 | 62 |
| 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 | Mymichigan Medical Center Gladwin |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1235248071 PECOS PAC ID: 0143262915 Enrollment ID: O20071121000592 |
| Entity Name | Mymichigan Medical Center Gladwin |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881869774 PECOS PAC ID: 0143262915 Enrollment ID: O20081024000094 |
| Entity Name | Resource Anesthesiology Associates of Mi PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568755882 PECOS PAC ID: 4082883053 Enrollment ID: O20110808000715 |
| 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 |
| Entity Name | Anesthesia Associates of the Lower Peninsula PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740152412 PECOS PAC ID: 1456841865 Enrollment ID: O20251105000713 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Marie Mathison, 703 N Mcewan St, Clare, MI 48617-1440 Ph: (586) 322-9126 | Kelly Marie Mathison, 703 N Mcewan St, Clare, MI 48617-1440 Ph: (898) 802-5000 |
Nicole Christiansen, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 703 N Mcewan St, Clare, MI 48617 Phone: 989-802-5000 |
William R Groves, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 703 N Mcewan St, Clare, MI 48617 Phone: 989-802-5000 |
Russell Glyn Rader, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 703 Mcewan, Clare, MI 48617 Phone: 989-802-8875 Fax: 989-802-8866 |
Edwardo Thomas Munoz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 703 N Mcewan St, Clare, MI 48617 Phone: 989-802-5000 |
Mr. Eric William Houk, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 703 N Mcewan St, Clare, MI 48617 Phone: 989-802-5000 |