| 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 | Certified Registered Nurse Anesthetist (crna) |
| Experience | 2 Years |
| Location | 1355 Bogue St, East Lansing, Michigan |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| 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 |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaumont Hospital Royal Oak | Royal oak, 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 |
|---|---|
| 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: May Accept Medicare Assignments 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: Accepting Medicare Assignments Practice Location: 1355 Bogue St, East Lansing, MI 48824 Phone: 800-605-6424 |