| Wayne Lisak Ii, CRNA | |
|
3601 W 13 Mile Rd, Anesthesia, Royal Oak, MI 48073-6712 | |
| (248) 898-5000 | |
| Not Available |
| Full Name | Wayne Lisak Ii |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 3601 W 13 Mile Rd, Royal Oak, Michigan |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336561356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704272201 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Associates Of Ann Arbor Pllc | 1355317223 | 202 |
| Northstar Anesthesia Of Michigan Iii Pllc | 7911325469 | 522 |
| Entity Name | William Beaumont Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811044878 PECOS PAC ID: 9335051093 Enrollment ID: O20040312000217 |
| Entity Name | Ambulatory Anesthesia Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952350555 PECOS PAC ID: 5092729020 Enrollment ID: O20060130000526 |
| Entity Name | Sleepsmith Staffing Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114463379 PECOS PAC ID: 8325320369 Enrollment ID: O20170126001573 |
| 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 |
|---|---|
| Wayne Lisak Ii, CRNA 750 Stephenson Hwy, Beaumont Payor Contract Services, Troy, MI 48083-1103 Ph: (248) 577-3511 | Wayne Lisak Ii, CRNA 3601 W 13 Mile Rd, Anesthesia, Royal Oak, MI 48073-6712 Ph: (248) 898-5000 |
Amie Hamper, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-7784 Fax: 248-898-8181 | |
Michelle Glaeser, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, 400 Fsc - Pcs, Royal Oak, MI 48073 Phone: 248-423-3144 | |
Thomas Lundblad, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 3601 W 13 Mile Rd, 400 Fsc - Pcs, Royal Oak, MI 48073 Phone: 248-423-3144 | |
Patricia Ljubic, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, 400 Fsc - Pcs, Royal Oak, MI 48073 Phone: 248-423-3144 | |
Catherine Wolfson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3601 W. 13 Mile Rd, 400 Fsc-pcs, Royal Oak, MI 48073 Phone: 248-423-2481 | |
Nancy Berner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Beaumont Hospital - Royal Oak, Royal Oak, MI 48073 Phone: 248-898-7784 Fax: 248-898-8181 | |
Steven Rich, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 3601 W. 13 Mile Rd, 400 Fsc-pcs, Royal Oak, MI 48073 Phone: 248-423-2481 |