| Philip B Durden, CRNA | |
|
955 S Bailey Ave, South Haven, MI 49090-9701 | |
| (269) 637-5271 | |
| (269) 639-2818 |
| Full Name | Philip B Durden |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 28 Years |
| Location | 955 S Bailey Ave, South Haven, 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 |
|---|---|---|---|
| 1770537169 | NPI | - | NPPES |
| 430C910670 | Other | MI | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704231742 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bronson Lakeview Hospital | Paw paw, MI | Hospital |
| Bronson Methodist Hospital | Kalamazoo, MI | Hospital |
| Bronson South Haven Hospital | South haven, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kalamazoo Anesthesiology P C | 3375449473 | 127 |
| Entity Name | Kalamazoo Anesthesiology P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407821796 PECOS PAC ID: 3375449473 Enrollment ID: O20031210000078 |
| Entity Name | Bronson South Haven Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174749170 PECOS PAC ID: 6204724834 Enrollment ID: O20040305001005 |
| Entity Name | Lakeshore Anesthesia Staffing Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255781019 PECOS PAC ID: 7416242946 Enrollment ID: O20160823002740 |
| Entity Name | Black River Anesthesia Staffing Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245850957 PECOS PAC ID: 5890119358 Enrollment ID: O20200717000256 |
| Mailing Address | Practice Location Address |
|---|---|
| Philip B Durden, CRNA 05444 Beechwood Ln, South Haven, MI 49090-7797 Ph: (574) 268-9640 | Philip B Durden, CRNA 955 S Bailey Ave, South Haven, MI 49090-9701 Ph: (269) 637-5271 |
Mr. William Dean Gilmer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 955 S Bailey Ave, South Haven, MI 49090 Phone: 269-639-2897 | |
Terri Harsch, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 556 N Shore Dr Lot 3, South Haven, MI 49090 Phone: 435-174-1211 |