| Luke Joseph Bootz, CRNA | |
|
1 Atkinson Dr, Ludington, MI 49431-1906 | |
| (231) 845-2539 | |
| Not Available |
| Full Name | Luke Joseph Bootz |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1 Atkinson Dr, Ludington, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821314378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704279085 (Michigan) | Primary |
| Entity Name | Spectrum Health Primary Care Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091 |
| Entity Name | Covenant Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225151897 PECOS PAC ID: 2769387778 Enrollment ID: O20040209001142 |
| Entity Name | Northstar Anesthesia Of Michigan Ii Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437268026 PECOS PAC ID: 7911895164 Enrollment ID: O20040309000625 |
| Entity Name | Apollo Medical Group Of Traverse City Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467093153 PECOS PAC ID: 8123452331 Enrollment ID: O20191221000053 |
| Mailing Address | Practice Location Address |
|---|---|
| Luke Joseph Bootz, CRNA 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: () - | Luke Joseph Bootz, CRNA 1 Atkinson Dr, Ludington, MI 49431-1906 Ph: (231) 845-2539 |
Charles D White, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 N Atkinson Dr, Ludington, MI 49431 Phone: 231-845-2348 | |
Robert Paul Olson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 N Atkinson Dr, Ludington, MI 49431 Phone: 231-480-4668 Fax: 231-480-4736 | |
Brian Webb Lindenborn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 N Atkinson Dr, Ludington, MI 49431 Phone: 231-845-2539 | |
Jorel Dickinson-hendershot, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 N Atkinson Dr, Ludington, MI 49431 Phone: 231-845-2539 | |
Melissa Ann Murray, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Atkinson Dr, Ludington, MI 49431 Phone: 231-845-2539 | |
Robert A Leitelt, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 N Atkinson Dr, Ludington, MI 49431 Phone: 231-845-2348 | |
Laura Marie Myers, DNAP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1 Atkinson Dr, Ludington, MI 49431 Phone: 231-845-2539 |