| Shannon Carlson, CRNA | |
|
1 William Carls Dr, Commerce Twp, MI 48382-2201 | |
| (248) 937-3307 | |
| Not Available |
| Full Name | Shannon Carlson |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 23 Years |
| Location | 1 William Carls Dr, Commerce Twp, 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 |
|---|---|---|---|
| 1689653826 | NPI | - | NPPES |
| SC217760 | Other | MI | BLUE CROSS OF MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704217760 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Healthcare | Owosso, MI | Hospital |
| Midmichigan Medical Center-gratiot | Alma, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sjmhs Anesthesia Services | 7416053483 | 98 |
| Memorial Hospital | 8527976497 | 191 |
| Northstar Anesthesia Of Michigan Pllc | 9638481591 | 172 |
| Monaco Management Llc | 9739577461 | 13 |
| Anesthesia Partners And Management Llc | 9931429198 | 149 |
| Entity Name | Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235160532 PECOS PAC ID: 8527976497 Enrollment ID: O20040122000907 |
| Entity Name | Superior Anesthetists Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831144518 PECOS PAC ID: 5890784987 Enrollment ID: O20040512000785 |
| Entity Name | Sjmhs Anesthesia Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215026281 PECOS PAC ID: 7416053483 Enrollment ID: O20070508000487 |
| Entity Name | Northwestern Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215106679 PECOS PAC ID: 4486723657 Enrollment ID: O20080514000823 |
| Entity Name | The Digestive Endoscopy Center Of Michigan Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477861045 PECOS PAC ID: 2769585819 Enrollment ID: O20110324000962 |
| Entity Name | Michigan Crnas Staffing Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851666424 PECOS PAC ID: 7416105226 Enrollment ID: O20120920000441 |
| Entity Name | Novi Aas Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598176919 PECOS PAC ID: 1557587847 Enrollment ID: O20140722002052 |
| 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 | Northstar Anesthesia Of Michigan Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871986372 PECOS PAC ID: 9638481591 Enrollment ID: O20150707000070 |
| Entity Name | Anesthesia Partners & Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336530997 PECOS PAC ID: 9931429198 Enrollment ID: O20200106000254 |
| Entity Name | Monaco Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568125177 PECOS PAC ID: 9739577461 Enrollment ID: O20211028001726 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Carlson, CRNA Po Box 67000, Dept 203401, Detroit, MI 48267-0002 Ph: (952) 442-9770 | Shannon Carlson, CRNA 1 William Carls Dr, Commerce Twp, MI 48382-2201 Ph: (248) 937-3307 |
Karen Moore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 William Carls Dr, Commerce Twp, MI 48382 Phone: 952-442-9770 | |
Jamie Lynn Clark, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 William Carls Dr, Commerce Twp, MI 48382 Phone: 248-937-3307 | |
Cynthia Hemingway, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 William Carls Dr, Commerce Twp, MI 48382 Phone: 248-937-3307 | |
Karen Pincheck, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 William Carls Dr, Commerce Twp, MI 48382 Phone: 248-937-3307 | |
Keumae Dato, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 William Carls Dr, Commerce Twp, MI 48382 Phone: 248-937-3307 | |
Marna Raitanen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 William Carls Dr, Commerce Twp, MI 48382 Phone: 248-937-3307 | |
Mrs. Geraldine Beverly Keller, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 William Carls Dr, Commerce Twp, MI 48382 Phone: 248-937-3307 |