| Pablo David Garcia Ortiz, | |
|
1355 Bogue St, East Lansing, MI 48824-6207 | |
| (812) 629-4423 | |
| Not Available |
| Full Name | Pablo David Garcia Ortiz |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1355 Bogue St, East Lansing, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902509094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704371761 (Michigan) | Primary |
| 163W00000X | Registered Nurse | 4704371761 (Michigan) | Secondary |
| 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 |
|---|---|
| Pablo David Garcia Ortiz, 1355 Bogue St, East Lansing, MI 48824-6207 Ph: () - | Pablo David Garcia Ortiz, 1355 Bogue St, East Lansing, MI 48824-6207 Ph: (812) 629-4423 |
Dorletha M Hill, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Michigan Surgical Center, 2075 Coolidge Road East, East Lansing, MI 48823 Phone: 517-319-9000 | |
Brooke Denae Metiva, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1355 Bogue St, East Lansing, MI 48824 Phone: 800-605-6424 | |
Jaimeson L Rutledge, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1355 Bogue St, East Lansing, MI 48824 Phone: 517-432-8163 | |
Kalin Elizabeth Green, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 444 Avocet Dr, East Lansing, MI 48823 Phone: 770-377-1256 | |
Austin Wilson, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1355 Bogue St, East Lansing, MI 48824 Phone: 800-605-6424 |