| Mark Rivait, | |
|
18101 Oakwood Blvd, Dearborn, MI 48124-4089 | |
| (313) 593-7000 | |
| Not Available |
| Full Name | Mark Rivait |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 1 Years |
| Location | 18101 Oakwood Blvd, Dearborn, Michigan |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508742560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 4704335574 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Corewell Health Dearborn Hospital | Dearborn, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of Michigan Iii Pllc | 7911325469 | 561 |
| 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 |
|---|---|
| Mark Rivait, 232 Esdras Place, Windsor, ON N8S 2-M5 Ph: Not Available | Mark Rivait, 18101 Oakwood Blvd, Dearborn, MI 48124-4089 Ph: (313) 593-7000 |
Asmaa Ghaleb, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6451 Schaefer Rd, Dearborn, MI 48126 Phone: 313-945-8138 |
Shahd Abdelmonem Yahya, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6800 Bingham St, Dearborn, MI 48126 Phone: 313-888-3765 Fax: 313-888-3765 |
Lori Rushlow, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3101 S Gulley Rd Ste G, Dearborn, MI 48124 Phone: 734-407-2500 Fax: 313-792-8962 |
Nader S Abdullah, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6832 Theisen St, Dearborn, MI 48126 Phone: 313-802-1027 |
Baraka Mawri, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6201 Middlesex St, Dearborn, MI 48126 Phone: 313-290-9112 |
Jeanine M Parkham, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3101 S Gulley Rd Ste F, Dearborn, MI 48124 Phone: 734-407-2500 Fax: 313-792-8962 |
Angela Mathews, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3237 Pardee Ave, Dearborn, MI 48124 Phone: 248-529-7837 |