| Lisa Hydorn, | |
|
47601 Grand River Ave, Novi, MI 48374-1233 | |
| (248) 465-4249 | |
| Not Available |
| Full Name | Lisa Hydorn |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 8 Years |
| Location | 47601 Grand River Ave, Novi, 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 |
|---|---|---|---|
| 1598238172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704289100 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry Ford Rochester Hospital | Rochester, MI | Hospital |
| Corewell Health Beaumont Troy Hospital | Troy, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Henry Ford Health Rochester Hospital | 8820994098 | 104 |
| Northstar Anesthesia Of Michigan Iii Pllc | 7911325469 | 561 |
| Entity Name | Henry Ford Health Rochester Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235252321 PECOS PAC ID: 8820994098 Enrollment ID: O20031209000552 |
| Entity Name | Northwestern Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215106679 PECOS PAC ID: 4486723657 Enrollment ID: O20080514000823 |
| Entity Name | West Michigan Aas LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295149227 PECOS PAC ID: 9931324076 Enrollment ID: O20140707000372 |
| Entity Name | Psj Anesthesia PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275905796 PECOS PAC ID: 8325342488 Enrollment ID: O20160210000814 |
| 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 |
|---|---|
| Lisa Hydorn, 30400 Telegraph Rd Ste 405, Bingham Farms, MI 48025-5817 Ph: Not Available | Lisa Hydorn, 47601 Grand River Ave, Novi, MI 48374-1233 Ph: (248) 465-4249 |
Susan M Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 39450 W Twelve Mile Rd, Novi, MI 48377 Phone: 248-344-8008 |
Michael B Pfeifer, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 47601 Grand River Ave, Novi, MI 48374 Phone: 248-465-4100 |
Mrs. Amanda Lynn Murray, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 47601 Grand River Ave, Novi, MI 48374 Phone: 248-830-2616 |
Victoria Zolkewsky Nelson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 39450 W 12 Mile Rd, Novi, MI 48377 Phone: 248-344-6688 |
Ms. Jing Zhang, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 47601 Grand River Ave, Novi, MI 48374 Phone: 248-465-4210 |
Kiersten Jean Cutler, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 47601 Grand River Ave, Novi, MI 48374 Phone: 248-465-4100 |
Meghan Rahcael Breil, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 47601 Grand River Ave, Novi, MI 48374 Phone: 248-465-4311 Fax: 248-465-4651 |