| Mr Timothy Joseph, CRNA | |
|
416 Connable Ave, Petoskey, MI 49770-2212 | |
| (231) 348-2795 | |
| (231) 348-2031 |
| Full Name | Mr Timothy Joseph |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 9 Years |
| Location | 416 Connable Ave, Petoskey, Michigan |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801301320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704263779 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Northern Michigan | Petoskey, MI | Hospital |
| Beaumont Hospital, Troy | Troy, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of Michigan Iii Pllc | 7911325469 | 568 |
| Midwest Anesthesia Resources, Inc. | 3476455726 | 14 |
| Northern Anesthesia Providers Pc | 4789579863 | 32 |
| Entity Name | Midwest Anesthesia Resources, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467424465 PECOS PAC ID: 3476455726 Enrollment ID: O20040126000687 |
| Entity Name | William Beaumont Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811044878 PECOS PAC ID: 9335051093 Enrollment ID: O20040312000217 |
| Entity Name | Northstar Anesthesia Of Michigan Iii Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972126209 PECOS PAC ID: 7911325469 Enrollment ID: O20200915001990 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Timothy Joseph, CRNA 602 Jackson St, Petoskey, MI 49770-2220 Ph: (231) 348-2795 | Mr Timothy Joseph, CRNA 416 Connable Ave, Petoskey, MI 49770-2212 Ph: (231) 348-2795 |
Heather Marie Lesnik, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 602 Jackson St, Petoskey, MI 49770 Phone: 231-348-2795 Fax: 231-348-2031 | |
Mr. Todd William Singleton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 416 Connable Ave, Petoskey, MI 49770 Phone: 231-348-2795 Fax: 231-348-2031 | |
Michelle Rene'e Gaudreau, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 416 Connable Ave, Petoskey, MI 49770 Phone: 231-348-2795 Fax: 231-348-2031 | |
Matthew Royal Wilson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 416 Connable Ave, Petoskey, MI 49770 Phone: 231-348-2795 Fax: 231-348-2031 | |
Heather Jean Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 416 Connable Ave, Petoskey, MI 49770 Phone: 231-348-2795 Fax: 231-348-2031 | |
Jonathon Johnson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 602 Jackson St, Petoskey, MI 49770 Phone: 231-348-2795 Fax: 231-348-2031 | |
Mark Rothman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 602 Jackson St, Petoskey, MI 49770 Phone: 231-348-2795 Fax: 231-348-2031 |