| Mrs Pennie Marie Marko, CRNA | |
|
2025 Hunt Club Dr, Grosse Pointe Woods, MI 48236-1703 | |
| (586) 292-2943 | |
| Not Available |
| Full Name | Mrs Pennie Marie Marko |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 14 Years |
| Location | 2025 Hunt Club Dr, Grosse Pointe Woods, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043556442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 4704266251 (Michigan) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 4704266251 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension St John Hospital | 3173424082 | 305 |
| Entity Name | Ascension St John Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598896995 PECOS PAC ID: 3173424082 Enrollment ID: O20040130000407 |
| 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 | Southfield Rehabilitation Company |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790785095 PECOS PAC ID: 6709872617 Enrollment ID: O20060414000038 |
| Entity Name | Henry Ford West Bloomfield Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518104686 PECOS PAC ID: 2264589449 Enrollment ID: O20090403000176 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Pennie Marie Marko, CRNA 2025 Hunt Club Dr, Grosse Pointe Woods, MI 48236-1703 Ph: (586) 292-2943 | Mrs Pennie Marie Marko, CRNA 2025 Hunt Club Dr, Grosse Pointe Woods, MI 48236-1703 Ph: (586) 292-2943 |
Stephanie Marie Michaels, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 19927 W Doyle Pl, Grosse Pointe Woods, MI 48236 Phone: 586-899-8696 | |
Christopher Michael Lebel, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1891 Manchester Blvd, Grosse Pointe Woods, MI 48236 Phone: 313-549-1027 | |
Olivia Dallaire, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1200 Roslyn Rd, Grosse Pointe Woods, MI 48236 Phone: 313-244-6426 |