Kelsey Elise Larios, CRNA | |
9111 Countrywood Dr, Plymouth, MI 48170-5727 | |
(734) 660-1339 | |
Not Available |
Full Name | Kelsey Elise Larios |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 9111 Countrywood Dr, Plymouth, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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 |
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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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 |