| Mr William Dean Gilmer, CRNA | |
|
955 S Bailey Ave, South Haven, MI 49090-6743 | |
| (269) 639-2897 | |
| Not Available |
| Full Name | Mr William Dean Gilmer |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 22 Years |
| Location | 955 S Bailey Ave, South Haven, 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 |
|---|---|---|---|
| 1548256449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 28214636A (Indiana) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 4704289737 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lakeland Hospital Watervliet | Watervliet, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Black River Anesthesia Staffing Llc | 5890119358 | 2 |
| Entity Name | Bronson South Haven Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174749170 PECOS PAC ID: 6204724834 Enrollment ID: O20040305001005 |
| Entity Name | Black River Anesthesia Staffing Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245850957 PECOS PAC ID: 5890119358 Enrollment ID: O20200717000256 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr William Dean Gilmer, CRNA 955 S Bailey Ave, South Haven, MI 49090-6743 Ph: (269) 639-2897 | Mr William Dean Gilmer, CRNA 955 S Bailey Ave, South Haven, MI 49090-6743 Ph: (269) 639-2897 |
Terri Harsch, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 556 N Shore Dr Lot 3, South Haven, MI 49090 Phone: 435-174-1211 | |
Philip B Durden, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 955 S Bailey Ave, South Haven, MI 49090 Phone: 269-637-5271 Fax: 269-639-2818 |