| Ms Dina F Velocci, CRNA | |
|
72 S State St, Shelby, MI 49455-1228 | |
| (231) 861-2156 | |
| Not Available |
| Full Name | Ms Dina F Velocci |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 22 Years |
| Location | 72 S State St, Shelby, 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 |
|---|---|---|---|
| 1104802321 | NPI | - | NPPES |
| 4704327485 | Other | MI | MICHIGAN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704327485 (Michigan) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 105863 (Tennessee) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Providence Hospital, Southfield And Novi | Southfield, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Marys Health Services | 4981500436 | 161 |
| Ascension Providence Hospital | 6103738703 | 290 |
| Entity Name | Botsford General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235179664 PECOS PAC ID: 2668385238 Enrollment ID: O20031113000500 |
| Entity Name | Saint Marys Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124063078 PECOS PAC ID: 4981500436 Enrollment ID: O20040329001233 |
| Entity Name | Ascension Providence Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851339196 PECOS PAC ID: 6103738703 Enrollment ID: O20040610001584 |
| 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 | 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 | Mercy Health Partners |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1285662981 PECOS PAC ID: 1456430016 Enrollment ID: O20141010001264 |
| 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 |
| Entity Name | Apollo Medical Group Of Traverse City Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467093153 PECOS PAC ID: 8123452331 Enrollment ID: O20191221000053 |
| Entity Name | South Shore Anesthesia Staffing |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013525112 PECOS PAC ID: 0547686677 Enrollment ID: O20200819001778 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Dina F Velocci, CRNA Po Box 1848, Muskegon, MI 49443-1848 Ph: (231) 861-2156 | Ms Dina F Velocci, CRNA 72 S State St, Shelby, MI 49455-1228 Ph: (231) 861-2156 |
Susan Bryan, RN,CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 72 S State St, Shelby, MI 49455 Phone: 231-861-2156 Fax: 231-861-3028 |