| Kelsey Elise Larios, CRNA | |
|
9111 Countrywood Dr, Plymouth, MI 48170-5727 | |
| (734) 660-1339 | |
| Not Available |
| Full Name | Kelsey Elise Larios |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 3 Years |
| Location | 9111 Countrywood Dr, Plymouth, Michigan |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013589068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704340814 (Michigan) | Primary |
| 163W00000X | Registered Nurse | 4704340814 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of Michigan Iii Pllc | 7911325469 | 522 |
| Entity Name | Northstar Anesthesia Of Michigan Iii Pllc |
|---|---|
| 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 |
|---|---|
| Kelsey Elise Larios, CRNA 849 Palmer St, Plymouth, MI 48170-2056 Ph: () - | Kelsey Elise Larios, CRNA 9111 Countrywood Dr, Plymouth, MI 48170-5727 Ph: (734) 660-1339 |
Shawn Sturgis, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 40777 Ann Arbor Rd E, Plymouth, MI 48170 Phone: 800-653-6568 | |
Jessica Lightbody, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 40777 Ann Arbor Rd E, Plymouth, MI 48170 Phone: 800-653-6568 Fax: 313-876-1305 | |
Ryan M. Hook, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 40777 Ann Arbor Rd E, Plymouth, MI 48170 Phone: 734-928-1600 Fax: 734-325-1082 |