Thomas F Ray, CRNA | |
7240 Mackenzie Ln, Portage, MI 49024-4414 | |
(269) 321-9090 | |
(269) 321-9098 |
Full Name | Thomas F Ray |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 7240 Mackenzie Ln, Portage, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1477662286 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | ARNP9207723 (Florida) | Primary |
Entity Name | Anesthesia Associates Of Battle Creek, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801835731 PECOS PAC ID: 3274421391 Enrollment ID: O20040309001025 |
Entity Name | Apollo Medical Group Of Michigan Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699582593 PECOS PAC ID: 6103354329 Enrollment ID: O20250115001436 |
Mailing Address | Practice Location Address |
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Thomas F Ray, CRNA 7240 Mackenzie Ln, Portage, MI 49024-4414 Ph: (269) 321-9090 | Thomas F Ray, CRNA 7240 Mackenzie Ln, Portage, MI 49024-4414 Ph: (269) 321-9090 |
Christopher Quertermus, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7901 Angling Rd, Portage, MI 49024 Phone: 269-324-8406 | |
Lani S Hensel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7240 Mackenzie Ln, Portage, MI 49024 Phone: 269-321-9098 | |
Frank Andrew Schymik, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7901 Angling Rd, Portage, MI 49024 Phone: 269-324-8406 | |
Myra Ray, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7240 Mackenzie Ln, Portage, MI 49024 Phone: 269-321-9090 Fax: 269-321-9098 |