| Marlene Ford, CRNA | |
|
31 N Saint Joseph Ave, Niles, MI 49120 | |
| (269) 687-1879 | |
| (269) 683-0104 |
| Full Name | Marlene Ford |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 24 Years |
| Location | 31 N Saint Joseph Ave, Niles, 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 |
|---|---|---|---|
| 1255382164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 28137180 (Indiana) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 4704355036 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allied Physicians Surgery Center Llc | 3971609702 | 6 |
| Entity Name | Great Lakes Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720039977 PECOS PAC ID: 0648183442 Enrollment ID: O20031107000452 |
| Entity Name | Allied Physicians Surgery Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669032942 PECOS PAC ID: 3971609702 Enrollment ID: O20190807000979 |
| Mailing Address | Practice Location Address |
|---|---|
| Marlene Ford, CRNA 31 N Saint Joseph Ave, Niles, MI 49120-2207 Ph: (269) 687-1879 | Marlene Ford, CRNA 31 N Saint Joseph Ave, Niles, MI 49120 Ph: (269) 687-1879 |
Christopher Holman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 31 N Saint Joseph Ave, Niles, MI 49120 Phone: 269-687-1879 Fax: 269-683-0104 | |
Jason Ford, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 31 N Saint Joseph Ave, Niles, MI 49120 Phone: 269-687-1879 Fax: 269-683-0104 | |
Ms. Natalie Nicole Brown, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 31 N Saint Joseph Ave, Niles, MI 49120 Phone: 269-687-1879 Fax: 269-683-0104 | |
Lenser Ochieng, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 31 N Saint Joseph Ave, Niles, MI 49120 Phone: 269-687-1879 | |
Ricki A Loenser, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 31 N Saint Joseph Ave, Niles, MI 49120 Phone: 269-556-7948 Fax: 269-687-1472 | |
Sandra Sloane Blix, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 31 N Saint Joseph Ave, Niles, MI 49120 Phone: 269-687-1879 Fax: 269-683-0104 |