| Leslie A Richard, CRNA | |
|
255 W Michigan Ave, Jackson, MI 49201-2218 | |
| (517) 787-6440 | |
| (517) 787-4146 |
| Full Name | Leslie A Richard |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 255 W Michigan Ave, Jackson, 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 |
|---|---|---|---|
| 1760800536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1-124363 (Alabama) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 240244-30 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Orthopaedic Hospital Of Wi | Glendale, WI | Hospital |
| Ascension Columbia St Mary's Hospital Milwaukee | Milwaukee, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vituity-wisconsin Anesthesia Sc | 2163968819 | 113 |
| Orthopaedic Hospital Of Wisconsin, Llc | 4981741709 | 18 |
| Entity Name | Orthopaedic Hospital Of Wisconsin, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669584983 PECOS PAC ID: 4981741709 Enrollment ID: O20160106001182 |
| Entity Name | Vituity-wisconsin Anesthesia Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821831975 PECOS PAC ID: 2163968819 Enrollment ID: O20240718002237 |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie A Richard, CRNA 255 W Michigan Ave, Jackson, MI 49201-2218 Ph: (517) 787-6440 | Leslie A Richard, CRNA 255 W Michigan Ave, Jackson, MI 49201-2218 Ph: (517) 787-6440 |
Joshua Booth, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-205-4800 | |
Mr. Steven John Dickerson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6700 S Jackson Rd, Jackson, MI 49201 Phone: 517-789-5481 Fax: 517-782-7926 | |
Mr. Michael Paul Haas, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-788-4963 | |
Rocco Mascioli, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 744 W Michigan Ave, Jackson, MI 49201 Phone: 517-787-6440 Fax: 517-787-4146 | |
Meredith Meston, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-788-4963 | |
Kara E. Bono, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 255 W Michigan Ave, Jackson, MI 49201 Phone: 800-516-5315 Fax: 517-787-7365 | |
Gavin Nathan Baker, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 255 W Michigan Ave, Jackson, MI 49201 Phone: 800-516-5315 Fax: 517-787-7365 |