Kristin Bock, CRNA | |
15855 19 Mile Rd, Clinton Township, MI 48038-3504 | |
(586) 263-2300 | |
Not Available |
Full Name | Kristin Bock |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 15855 19 Mile Rd, Clinton Township, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1275009714 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LF0000X | Nurse Practitioner - Family | 4704300501 (Michigan) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 4704300501 (Michigan) | Primary |
Entity Name | Henry Ford Macomb Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952440521 PECOS PAC ID: 7911808381 Enrollment ID: O20040617000651 |
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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Kristin Bock, CRNA 15855 19 Mile Rd, Clinton Township, MI 48038-3504 Ph: (586) 263-2300 | Kristin Bock, CRNA 15855 19 Mile Rd, Clinton Township, MI 48038-3504 Ph: (586) 263-2300 |
Mrs. Jennifer Lynn Pagaduan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 35369 Blairmoor Dr, Clinton Township, MI 48035 Phone: 586-484-9916 | |
Antonio Denkovski, DNP, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2300 | |
Teresa Ellen Kay, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2300 | |
Taylor Barnhart, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2300 | |
Brittany Kay Moulton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2375 | |
Jon T Braman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2374 | |
Laura Marie Gafner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2300 |