| Matthew Royal Wilson, CRNA | |
|
36475 Five Mile Rd, Livonia, MI 48154-1971 | |
| (734) 655-4800 | |
| Not Available |
| Full Name | Matthew Royal Wilson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 7 Years |
| Location | 36475 Five Mile Rd, Livonia, 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 |
|---|---|---|---|
| 1356988547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704299657 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Northern Michigan | Petoskey, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northern Anesthesia Providers Pc | 4789579863 | 27 |
| Entity Name | Northern Anesthesia Providers Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396834628 PECOS PAC ID: 4789579863 Enrollment ID: O20040218000105 |
| Entity Name | St Mary Mercy Hospital Crna |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063602092 PECOS PAC ID: 8820163538 Enrollment ID: O20080814000520 |
| Entity Name | Rochester Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396398681 PECOS PAC ID: 8729318704 Enrollment ID: O20190918002717 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Royal Wilson, CRNA 555 Kingsley Trl, Bloomfield Hills, MI 48304-2317 Ph: (248) 736-2037 | Matthew Royal Wilson, CRNA 36475 Five Mile Rd, Livonia, MI 48154-1971 Ph: (734) 655-4800 |
Nicole Trublowski, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 36475 Five Mile Rd, Livonia, MI 48154 Phone: 734-786-2317 | |
Ashley Staubin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 36475 Five Mile Rd, Livonia, MI 48154 Phone: 734-655-4800 | |
Avis J Dorsey, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12031 Cardwell St, Livonia, MI 48150 Phone: 248-982-7385 | |
Misty Tyburski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 36475 Five Mile Rd, Livonia, MI 48154 Phone: 734-655-4800 | |
Sheri Sparkman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 36475 5 Mile Rd, Livonia, MI 48154 Phone: 734-655-2022 | |
Sarah Krater, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 36475 Five Mile Rd, Livonia, MI 48154 Phone: 734-655-4800 | |
Andrea Kline Ozimek, CRNA, MS Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 36475 Five Mile Rd, Livonia, MI 48154 Phone: 734-655-2031 |