| Sandra Sloane Blix, CRNA | |
|
31 N Saint Joseph Ave, Niles, MI 49120-2207 | |
| (269) 687-1879 | |
| (269) 683-0104 |
| Full Name | Sandra Sloane Blix |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 36 Years |
| Location | 31 N Saint Joseph Ave, Niles, 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 |
|---|---|---|---|
| 1982679080 | NPI | - | NPPES |
| 4299414 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704176326 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeshore Anesthesia Staffing Llc | 7416242946 | 2 |
| Entity Name | Sparrow Eaton Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043419427 PECOS PAC ID: 0042103509 Enrollment ID: O20040213000368 |
| Entity Name | Anesthesia Professional Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750304622 PECOS PAC ID: 8527952092 Enrollment ID: O20040214000198 |
| Entity Name | Lakeland Hospitals At Niles And St Joseph Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134220031 PECOS PAC ID: 7517929037 Enrollment ID: O20041027001172 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Sloane Blix, CRNA 31 N Saint Joseph Ave, Niles, MI 49120-2207 Ph: (269) 687-1879 | Sandra Sloane Blix, CRNA 31 N Saint Joseph Ave, Niles, MI 49120-2207 Ph: (269) 687-1879 |
Christopher Holman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 31 N Saint Joseph Ave, Niles, MI 49120 Phone: 269-687-1879 Fax: 269-683-0104 | |
Jason Ford, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 31 N Saint Joseph Ave, Niles, MI 49120 Phone: 269-687-1879 Fax: 269-683-0104 | |
Ms. Natalie Nicole Brown, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 31 N Saint Joseph Ave, Niles, MI 49120 Phone: 269-687-1879 Fax: 269-683-0104 | |
Marlene Ford, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 31 N Saint Joseph Ave, Niles, MI 49120 Phone: 269-687-1879 Fax: 269-683-0104 | |
Lenser Ochieng, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 31 N Saint Joseph Ave, Niles, MI 49120 Phone: 269-687-1879 | |
Ricki A Loenser, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 31 N Saint Joseph Ave, Niles, MI 49120 Phone: 269-556-7948 Fax: 269-687-1472 |