Associated Surgical Center of Dearborn LLC
A Medicare group practice based in Dearborn Heights, MI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6204149586), with 5 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 6204149586
- Provider type
- Part B Supplier - Ambulatory Surgical Center, Part B Supplier - Clinic/Group Practice
- Enrolled in
- MI
- Enrollments
- 2
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20150715001365 | MI | Part B Supplier - Ambulatory Surgical Center | 1760770903 |
| O20251027002333 | MI | Part B Supplier - Clinic/Group Practice | 1609767342 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Associated Surgical Center of Dearborn LLC
- Anesthesiology Physician
- Dearborn Heights, MI
- NPI 1609767342
-
Associated Surgical Center of Dearborn LLC
- Ambulatory Surgical Clinic/Center
- Dearborn Heights, MI
- NPI 1760770903
Practice locations
- Dearborn Heights, MI2
Clinicians 5
Clinicians who reassign their Medicare benefits to this group (5) or whom Care Compare lists as members (3).
-
Richard Briggs, CRNA
- Certified Registered Nurse Anesthetist
- Southfield, MI
- NPI 1871557207
-
Jordan Ford, CRNA
- Certified Registered Nurse Anesthetist
- Royal Oak, MI
- NPI 1467840512
-
Milos Marjanovic, M.D.
- Specialist
- Detroit, MI
- NPI 1275574063
-
Timothy Marx, CRNA
- Certified Registered Nurse Anesthetist
- Bingham Farms, MI
- NPI 1235195611
-
Michael Reardon, CRNA
- Certified Registered Nurse Anesthetist
- Royal Oak, MI
- NPI 1124095617
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.