| Mr Jerry Russell Hill, CRNA | |
|
205 Osceola St, Laurium, MI 49913-2134 | |
| (906) 337-6500 | |
| (906) 523-6129 |
| Full Name | Mr Jerry Russell Hill |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 205 Osceola St, Laurium, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821099060 | NPI | - | NPPES |
| RNA203021 | Other | ME | CRNA LICENSE |
| 4704093472 | Other | MI | MICHIGAN LICENSE |
| RN76197 | Other | ME | RN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RNA203021 (Maine) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 4704093472 (Michigan) | Primary |
| Entity Name | Aspirus Keweenaw |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205998713 PECOS PAC ID: 8123912011 Enrollment ID: O20040211000763 |
| Entity Name | Saginaw Anesthesia Services, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205083615 PECOS PAC ID: 5890855019 Enrollment ID: O20081210000101 |
| Entity Name | Portage Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245667229 PECOS PAC ID: 1951538883 Enrollment ID: O20140224000087 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jerry Russell Hill, CRNA 24559 S Klingville Rd, Chassell, MI 49916-9265 Ph: (906) 523-6129 | Mr Jerry Russell Hill, CRNA 205 Osceola St, Laurium, MI 49913-2134 Ph: (906) 337-6500 |
Jasmin J David, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 205 Osceola St, Laurium, MI 49913 Phone: 906-337-6500 Fax: 906-337-6582 | |
Francis J Geronimo, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 205 Osceola St, Laurium, MI 49913 Phone: 906-337-6500 Fax: 906-337-6582 | |
Darin Hoiska, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 205 Osceola St, Laurium, MI 49913 Phone: 906-337-6500 | |
Charles R Janovsky, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 205 Osceola St, Laurium, MI 49913 Phone: 906-337-6591 Fax: 906-337-6597 |