| Mary K Jennett, CRNA | |
|
4005 Orchard Dr, Midland, MI 48670-0001 | |
| (989) 839-3000 | |
| Not Available |
| Full Name | Mary K Jennett |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 4005 Orchard Dr, Midland, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265522999 | NPI | - | NPPES |
| 3294932 | Medicaid | MI | |
| MJ159661 | Other | MI | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704159661 (Michigan) | Primary |
| 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 | Asa Staffing Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114378981 PECOS PAC ID: 3971898644 Enrollment ID: O20160818002713 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary K Jennett, CRNA 3519 E Point Dr, Beaverton, MI 48612-8742 Ph: (989) 435-8890 | Mary K Jennett, CRNA 4005 Orchard Dr, Midland, MI 48670-0001 Ph: (989) 839-3000 |
Richard M Dudzik, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4005 Orchard Dr, Midland, MI 48670 Phone: 989-839-3000 | |
Bernard J Betka, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4005 Orchard Dr, Midland, MI 48670 Phone: 989-839-3000 | |
Donavon Earley, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2107 Laurel Ln, Midland, MI 48642 Phone: 989-750-2335 | |
Karen L Yaworski, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4005 Orchard Dr, Midland, MI 48670 Phone: 989-839-3000 | |
Christine M Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4005 Orchard Dr, Midland, MI 48670 Phone: 989-839-3000 | |
Andrew James Leis, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4000 Wellness Dr, Midland, MI 48670 Phone: 989-839-3000 | |
Hollie Caldwell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4000 Wellness Dr, Midland, MI 48670 Phone: 989-839-3639 |