| Richard L De Fluiter, CRNA | |
|
406 E Elm St, Carson City, MI 48811-9693 | |
| (989) 584-3971 | |
| Not Available |
| Full Name | Richard L De Fluiter |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 36 Years |
| Location | 406 E Elm St, Carson City, 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 |
|---|---|---|---|
| 1518903442 | NPI | - | NPPES |
| 4520902 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704171685 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Midmichigan Medical Center-clare | Clare, MI | Hospital |
| Midmichigan Medical Center-gladwin | Gladwin, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mymichigan Medical Center Gladwin | 0143262915 | 51 |
| Mymichigan Medical Center Clare | 7012829773 | 106 |
| Entity Name | Mymichigan Medical Center Midland |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770668683 PECOS PAC ID: 2264323633 Enrollment ID: O20040324001146 |
| Entity Name | Mymichigan Medical Center Clare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417084278 PECOS PAC ID: 7012829773 Enrollment ID: O20040424000282 |
| Entity Name | Mymichigan Medical Center Gladwin |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881869774 PECOS PAC ID: 0143262915 Enrollment ID: O20081024000094 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard L De Fluiter, CRNA 406 E Elm St, Po Box 879, Carson City, MI 48811-9693 Ph: (989) 584-3971 | Richard L De Fluiter, CRNA 406 E Elm St, Carson City, MI 48811-9693 Ph: (989) 584-3971 |
James H Gilkins Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 406 E Elm St, Carson City, MI 48811 Phone: 989-584-3971 | |
Sarah A Bergakker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 406 E Elm St, Carson City, MI 48811 Phone: 989-584-3971 |