| Roger Jack Pell, CRNA | |
|
50 N Perry St, Department Of Anesthesia Attn Karen Sanderson, Pontiac, MI 48342-2217 | |
| (248) 338-5442 | |
| Not Available |
| Full Name | Roger Jack Pell |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 34 Years |
| Location | 50 N Perry St, Pontiac, 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 |
|---|---|---|---|
| 1780757351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704155121 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Mercy Oakland | Pontiac, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Associates Of Ann Arbor Pllc | 1355317223 | 202 |
| Entity Name | American Anesthesiology Of Michigan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487609475 PECOS PAC ID: 5294648804 Enrollment ID: O20031110000617 |
| Entity Name | Anesthesia Associates Of Ann Arbor Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669581997 PECOS PAC ID: 1355317223 Enrollment ID: O20040902000916 |
| Entity Name | Waterford Anesthesia, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376862474 PECOS PAC ID: 6901090489 Enrollment ID: O20101028000689 |
| Entity Name | Glps Staffing Solutions Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750797015 PECOS PAC ID: 2365668043 Enrollment ID: O20140801002058 |
| Entity Name | Prime Healthcare Services-port Huron Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306227764 PECOS PAC ID: 7214245208 Enrollment ID: O20151123000133 |
| Mailing Address | Practice Location Address |
|---|---|
| Roger Jack Pell, CRNA 5833 Rowley Blvd, Waterford, MI 48329-2217 Ph: (248) 674-0501 | Roger Jack Pell, CRNA 50 N Perry St, Department Of Anesthesia Attn Karen Sanderson, Pontiac, MI 48342-2217 Ph: (248) 338-5442 |
Wenjing Zhang, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-6593 | |
Allison Michelle Frederick, DNAP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-585-3023 Fax: 248-585-3022 | |
Lindsey Sarnovsky, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3000 | |
Patricia A Waugh, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-6593 | |
Zorica Raveane, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-6593 | |
Stephen Stawicki, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-6593 | |
Steve Barnett, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5516 Fax: 247-338-5547 |