| Matthew Brady, CRNA | |
|
6071 W Outer Dr, Detroit, MI 48235-2624 | |
| (952) 442-9770 | |
| Not Available |
| Full Name | Matthew Brady |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 24 Years |
| Location | 6071 W Outer Dr, 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 |
|---|---|---|---|
| 1184681751 | NPI | - | NPPES |
| MB222046 | Other | MI | BLUE CROSS OF MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704222046 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lakeland Hospital, St Joseph | St joseph, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kalamazoo Anesthesiology P C | 3375449473 | 127 |
| Lakeland Hospitals At Niles And St Joseph, Inc | 7517929037 | 123 |
| Entity Name | Kalamazoo Anesthesiology P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407821796 PECOS PAC ID: 3375449473 Enrollment ID: O20031210000078 |
| Entity Name | Lakeland Hospitals At Niles And St Joseph Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134220031 PECOS PAC ID: 7517929037 Enrollment ID: O20041027001172 |
| Entity Name | Macatawa Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942242136 PECOS PAC ID: 4183682883 Enrollment ID: O20051024000107 |
| Entity Name | Northwestern Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215106679 PECOS PAC ID: 4486723657 Enrollment ID: O20080514000823 |
| Entity Name | Henry Ford West Bloomfield Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518104686 PECOS PAC ID: 2264589449 Enrollment ID: O20090403000176 |
| Entity Name | Munson Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821398322 PECOS PAC ID: 8820277015 Enrollment ID: O20110120000061 |
| Entity Name | West Michigan Aas Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295149227 PECOS PAC ID: 9931324076 Enrollment ID: O20140707000372 |
| Entity Name | Novi Aas Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598176919 PECOS PAC ID: 1557587847 Enrollment ID: O20140722002052 |
| Entity Name | Munson Healthcare Cadillac |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871991596 PECOS PAC ID: 6305161514 Enrollment ID: O20150327000436 |
| Entity Name | Apollo Medical Group Of West Michigan Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851957849 PECOS PAC ID: 0648504761 Enrollment ID: O20190624002860 |
| 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 |
|---|---|
| Matthew Brady, CRNA Dept 203401, Po Box 67000, Detroit, MI 48267-0001 Ph: (952) 442-9770 | Matthew Brady, CRNA 6071 W Outer Dr, Detroit, MI 48235-2624 Ph: (952) 442-9770 |
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 |