| Kristin Bock, CRNA | |
|
15855 19 Mile Rd, Clinton Township, MI 48038-3504 | |
| (586) 263-2300 | |
| Not Available |
| Full Name | Kristin Bock |
|---|---|
| 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 |
|---|---|---|---|
| 1275009714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704300501 (Michigan) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 4704300501 (Michigan) | Primary |
| Entity Name | Henry Ford Macomb Hospital Corporation |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 | |
Katie N Kozeli, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2978 | |
Brittany Kay Garrison, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2375 | |
Craig Cordeiro, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2978 |