| Owen Adolphsen, | |
|
416 Connable Ave, Petoskey, MI 49770-2212 | |
| (231) 348-2795 | |
| (231) 348-2031 |
| Full Name | Owen Adolphsen |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 1 Years |
| Location | 416 Connable Ave, Petoskey, 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 |
|---|---|---|---|
| 1063241230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN757422 (Pennsylvania) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 4704351318 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Northern Michigan | Petoskey, MI | Hospital |
| Upmc Hamot Hospital | Erie, PA | Hospital |
| Munson Medical Center | Traverse city, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Munson Medical Group | 8820277015 | 188 |
| North American Partners In Anesthesia, Pennsylvania , Llc | 7517960834 | 333 |
| Northern Anesthesia Providers Pc | 4789579863 | 32 |
| Mailing Address | Practice Location Address |
|---|---|
| Owen Adolphsen, 602 Jackson St, Petoskey, MI 49770-2220 Ph: (231) 348-2795 | Owen Adolphsen, 416 Connable Ave, Petoskey, MI 49770-2212 Ph: (231) 348-2795 |
Heather Marie Lesnik, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 602 Jackson St, Petoskey, MI 49770 Phone: 231-348-2795 Fax: 231-348-2031 | |
Mr. Todd William Singleton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 416 Connable Ave, Petoskey, MI 49770 Phone: 231-348-2795 Fax: 231-348-2031 | |
Michelle Rene'e Gaudreau, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 416 Connable Ave, Petoskey, MI 49770 Phone: 231-348-2795 Fax: 231-348-2031 | |
Matthew Royal Wilson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 416 Connable Ave, Petoskey, MI 49770 Phone: 231-348-2795 Fax: 231-348-2031 | |
Heather Jean Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 416 Connable Ave, Petoskey, MI 49770 Phone: 231-348-2795 Fax: 231-348-2031 | |
Jonathon Johnson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 602 Jackson St, Petoskey, MI 49770 Phone: 231-348-2795 Fax: 231-348-2031 | |
Mark Rothman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 602 Jackson St, Petoskey, MI 49770 Phone: 231-348-2795 Fax: 231-348-2031 |