| Mathew Paul Damore, CRNA | |
|
3990 John R St, Detroit, MI 48201-2018 | |
| (313) 745-7600 | |
| Not Available |
| Full Name | Mathew Paul Damore |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 17 Years |
| Location | 3990 John R St, Detroit, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558693408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704193170 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Macomb Oakland Hosp-warren Campus | Warren, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension Macomb Oakland Hospital | 7315859725 | 127 |
| Pinnacle Anesthesia Pllc | 8628471190 | 36 |
| Entity Name | Ascension Macomb Oakland Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396789434 PECOS PAC ID: 7315859725 Enrollment ID: O20031105000692 |
| Entity Name | Surgical Centers Of Michigan Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1962463133 PECOS PAC ID: 1355393364 Enrollment ID: O20050218000062 |
| Entity Name | Ascension Macomb Oakland Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871793505 PECOS PAC ID: 7315859725 Enrollment ID: O20080604000742 |
| Entity Name | Macomb Endoscopy Center Plc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1780923128 PECOS PAC ID: 1850536012 Enrollment ID: O20130319000064 |
| Entity Name | Glps Staffing Solutions Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750797015 PECOS PAC ID: 2365668043 Enrollment ID: O20140801002058 |
| Entity Name | Pinnacle Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295301133 PECOS PAC ID: 8628471190 Enrollment ID: O20210721000763 |
| Mailing Address | Practice Location Address |
|---|---|
| Mathew Paul Damore, CRNA Po Box 67000, Dept 203401, Detroit, MI 48267-2034 Ph: (313) 745-7600 | Mathew Paul Damore, CRNA 3990 John R St, Detroit, MI 48201-2018 Ph: (313) 745-7600 |
Kimberly Dawn Harris, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3990 John R St, Detroit, MI 48201 Phone: 313-745-8521 | |
Caroline L Talbert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3990 John R St, Detroit, MI 48201 Phone: 313-745-7600 Fax: 952-442-3620 | |
Kyle Krupa, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Lisa Zetuna, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Dr. Timothy Turner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-8078 | |
Ms. Laura Lynn Rivera, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Elizabeth Anne Ranella, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4201 Saint Antoine St, Detroit, MI 48201 Phone: 952-442-9770 Fax: 952-442-3630 |