| Mrs Jenny Ann Beauregard, CRNA | |
|
21230 Dequindre Rd, Warren, MI 48091-2279 | |
| (313) 837-9651 | |
| Not Available |
| Full Name | Mrs Jenny Ann Beauregard |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 21230 Dequindre Rd, Warren, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720064934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704107072 (Michigan) | Primary |
| Entity Name | Ambulatory Anesthesia Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952350555 PECOS PAC ID: 5092729020 Enrollment ID: O20060130000526 |
| Entity Name | Resource Anesthesiology Associates Of Mi Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568755882 PECOS PAC ID: 4082883053 Enrollment ID: O20110808000715 |
| Entity Name | American Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083959548 PECOS PAC ID: 6507003126 Enrollment ID: O20130518000024 |
| Entity Name | Alliance Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063880052 PECOS PAC ID: 0143538769 Enrollment ID: O20151001001050 |
| Entity Name | Psj Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275905796 PECOS PAC ID: 8325342488 Enrollment ID: O20160210000814 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jenny Ann Beauregard, CRNA 14820 Artesian St, Detroit, MI 48223-2229 Ph: (313) 837-9651 | Mrs Jenny Ann Beauregard, CRNA 21230 Dequindre Rd, Warren, MI 48091-2279 Ph: (313) 837-9651 |
Kimberly A Manzaroli, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5260 Fax: 586-573-5364 | |
Toleka Regina Taylor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 Phone: 586-576-4031 | |
Metodija Naumovski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5260 Fax: 586-573-5364 | |
David J Van Dam, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5260 Fax: 586-573-5364 | |
Mr. Romulo Gasmen Pascua, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 21230 Dequindre Rd, Warren, MI 48091 Phone: 734-765-2921 | |
Norbert Kadler, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5260 Fax: 586-573-5364 | |
Ms. Diane Marie Pokorski, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-612-4446 |