| Tracey Lyn Mcmullen, CRNA | |
|
605 Oak St, Big Rapids, MI 49307-2048 | |
| (231) 592-4270 | |
| Not Available |
| Full Name | Tracey Lyn Mcmullen |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 31 Years |
| Location | 605 Oak St, Big Rapids, 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 |
|---|---|---|---|
| 1518919539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704169891 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Spectrum Health Big Rapids Hospital | Big rapids, MI | Hospital |
| Spectrum Health Reed City Hospital | Reed city, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Michigan Anesthesia Pc | 1355243551 | 181 |
| Entity Name | West Michigan Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225016926 PECOS PAC ID: 1355243551 Enrollment ID: O20040127000018 |
| Entity Name | Covenant Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225151897 PECOS PAC ID: 2769387778 Enrollment ID: O20040209001142 |
| Entity Name | Resource Anesthesiology Associates Of Mi Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568755882 PECOS PAC ID: 4082883053 Enrollment ID: O20110808000715 |
| Entity Name | Portage Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245667229 PECOS PAC ID: 1951538883 Enrollment ID: O20140224000087 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracey Lyn Mcmullen, CRNA 100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560 Ph: () - | Tracey Lyn Mcmullen, CRNA 605 Oak St, Big Rapids, MI 49307-2048 Ph: (231) 592-4270 |
Mrs. Sharon K Swedenborg, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 605 Oak St, Big Rapids, MI 49307 Phone: 231-796-8691 Fax: 231-592-4494 | |
Christopher W Kesting, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 605 Oak St, Big Rapids, MI 49307 Phone: 231-592-4270 |