| Nicole Rene Santilli, | |
|
259 Mack Ave, Detroit, MI 48201-2427 | |
| (313) 577-1716 | |
| Not Available |
| Full Name | Nicole Rene Santilli |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 4 Years |
| Location | 259 Mack Ave, Detroit, Michigan |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205561792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 4704324043 (Michigan) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 4704324043 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaumont Hospital - Dearborn | Dearborn, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of Michigan Iii Pllc | 7911325469 | 522 |
| 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 |
|---|---|
| Nicole Rene Santilli, 259 Mack Ave, Detroit, MI 48201-2427 Ph: () - | Nicole Rene Santilli, 259 Mack Ave, Detroit, MI 48201-2427 Ph: (313) 577-1716 |
Kimberly Dawn Harris, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3990 John R St, Detroit, MI 48201 Phone: 313-745-8521 | |
Caroline L Talbert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3990 John R St, Detroit, MI 48201 Phone: 313-745-7600 Fax: 952-442-3620 | |
Kyle Krupa, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Lisa Zetuna, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Dr. Timothy Turner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-8078 | |
Ms. Laura Lynn Rivera, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Elizabeth Anne Ranella, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4201 Saint Antoine St, Detroit, MI 48201 Phone: 952-442-9770 Fax: 952-442-3630 |