| Sally Range, CRNA | |
|
36475 5 Mile Rd, Livonia, MI 48154-1971 | |
| (734) 655-2022 | |
| Not Available |
| Full Name | Sally Range |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 30 Years |
| Location | 36475 5 Mile Rd, Livonia, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861420937 | NPI | - | NPPES |
| 104199983 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704155743 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of Michigan Ii Pc | 7911895164 | 23 |
| Entity Name | Northstar Anesthesia Of Michigan Ii Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437268026 PECOS PAC ID: 7911895164 Enrollment ID: O20040309000625 |
| Entity Name | Sparrow Carson Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396789798 PECOS PAC ID: 7113836701 Enrollment ID: O20040527000622 |
| Mailing Address | Practice Location Address |
|---|---|
| Sally Range, CRNA 47953 Park Lane Ct, Canton, MI 48187-5469 Ph: () - | Sally Range, CRNA 36475 5 Mile Rd, Livonia, MI 48154-1971 Ph: (734) 655-2022 |
Nicole Trublowski, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 36475 Five Mile Rd, Livonia, MI 48154 Phone: 734-786-2317 | |
Ashley Staubin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 36475 Five Mile Rd, Livonia, MI 48154 Phone: 734-655-4800 | |
Avis J Dorsey, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12031 Cardwell St, Livonia, MI 48150 Phone: 248-982-7385 | |
Misty Tyburski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 36475 Five Mile Rd, Livonia, MI 48154 Phone: 734-655-4800 | |
Sheri Sparkman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 36475 5 Mile Rd, Livonia, MI 48154 Phone: 734-655-2022 | |
Sarah Krater, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 36475 Five Mile Rd, Livonia, MI 48154 Phone: 734-655-4800 | |
Andrea Kline Ozimek, CRNA, MS Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 36475 Five Mile Rd, Livonia, MI 48154 Phone: 734-655-2031 |