| Spencer Brainard, CRNA | |
|
18101 Oakwood Blvd, Dearborn, MI 48124-4089 | |
| (313) 593-7000 | |
| Not Available |
| Full Name | Spencer Brainard |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 18101 Oakwood Blvd, Dearborn, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629753843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704329645 (Michigan) | Primary |
| Entity Name | Northstar Anesthesia Of Michigan Iii Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972126209 PECOS PAC ID: 7911325469 Enrollment ID: O20200915001990 |
| Mailing Address | Practice Location Address |
|---|---|
| Spencer Brainard, CRNA 9574 Waterway Dr, Grosse Ile, MI 48138-1648 Ph: () - | Spencer Brainard, CRNA 18101 Oakwood Blvd, Dearborn, MI 48124-4089 Ph: (313) 593-7000 |
Megan Nicole Sanborn, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-436-2374 | |
Ban Batu, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 18100 Oakwood Blvd Ste 100, Dearborn, MI 48124 Phone: 313-253-2030 | |
Michael Kroll, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 18101 Oakwood Blvd, Anesthesia Dept, Dearborn, MI 48124 Phone: 313-593-7820 Fax: 313-593-8894 | |
Michele L Mack, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18100 Oakwood Blvd, Suite 100, Dearborn, MI 48124 Phone: 313-253-2000 | |
Melody Y Lowe, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 18100 Oakwood Blvd, Suite 100, Dearborn, MI 48124 Phone: 313-253-2000 Fax: 313-253-2028 | |
Robert F Mrowka, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 18101 Oakwood Blvd, Anesthesia Dept, Dearborn, MI 48124 Phone: 313-593-7820 Fax: 313-593-8894 | |
Calvin Stewart, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 18100 Oakwood Blvd, Suite 100, Dearborn, MI 48124 Phone: 313-253-2000 |