| William G Dallas, CRNA | |
|
1000 Harrington Blvd, Mount Clemens, MI 48043 | |
| (586) 493-8747 | |
| (586) 493-8741 |
| Full Name | William G Dallas |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 21 Years |
| Location | 1000 Harrington Blvd, Mount Clemens, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649365164 | NPI | - | NPPES |
| 4838500 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704226096 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St John Hospital | Detroit, MI | Hospital |
| Ascension Providence Hospital, Southfield And Novi | Southfield, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension St John Hospital | 3173424082 | 305 |
| Ascension Providence Hospital | 6103738703 | 290 |
| Entity Name | Lakeside Anesthesia Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073534947 PECOS PAC ID: 7517861628 Enrollment ID: O20031120000879 |
| Entity Name | Ascension St John Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598896995 PECOS PAC ID: 3173424082 Enrollment ID: O20040130000407 |
| Entity Name | Northstar Anesthesia Of Michigan Ii Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437268026 PECOS PAC ID: 7911895164 Enrollment ID: O20040309000625 |
| Entity Name | Macomb Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639248206 PECOS PAC ID: 2860486388 Enrollment ID: O20040408001058 |
| Entity Name | Ascension Providence Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851339196 PECOS PAC ID: 6103738703 Enrollment ID: O20040610001584 |
| Entity Name | Surgical Centers Of Michigan Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1962463133 PECOS PAC ID: 1355393364 Enrollment ID: O20050218000062 |
| Entity Name | Macomb Endoscopy Center Plc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1780923128 PECOS PAC ID: 1850536012 Enrollment ID: O20130319000064 |
| Entity Name | West Michigan Aas Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295149227 PECOS PAC ID: 9931324076 Enrollment ID: O20140707000372 |
| 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 | Psj Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275905796 PECOS PAC ID: 8325342488 Enrollment ID: O20160210000814 |
| Entity Name | Axon Anesthesia Consultants Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235643495 PECOS PAC ID: 7012276819 Enrollment ID: O20180124003392 |
| Entity Name | Eastern District Anesthesiology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396397741 PECOS PAC ID: 6507195419 Enrollment ID: O20190830002837 |
| 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 |
| Entity Name | Sjs Consultants Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568270783 PECOS PAC ID: 7810417359 Enrollment ID: O20250227000145 |
| Mailing Address | Practice Location Address |
|---|---|
| William G Dallas, CRNA 1000 Harrington Blvd, Mount Clemens, MI 48043 Ph: (586) 493-8747 | William G Dallas, CRNA 1000 Harrington Blvd, Mount Clemens, MI 48043 Ph: (586) 493-8747 |
Javier Zarate, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8000 | |
Ms. Lindsey April Mcclain, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8000 | |
Claire Susan Simon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: -- | |
Lyndon M Graham, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8747 | |
Yinghao Zhao, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8546 | |
Victoria L Struebing, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington Blvd, Mount Clemens, MI 48043 Phone: 586-493-8747 Fax: 586-493-8741 | |
Christine L Dex, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-2844 |