Surgery Center at Gateway LLC
A Medicare group practice based in Flint, MI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9133455918), with 6 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 9133455918
- Provider type
- Part B Supplier - Ambulatory Surgical Center, Part B Supplier - Clinic/Group Practice
- Enrolled in
- MI
- Enrollments
- 2
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20190731003850 | MI | Part B Supplier - Ambulatory Surgical Center | 1215400320 |
| O20230503002029 | MI | Part B Supplier - Clinic/Group Practice | 1679270144 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Surgery Center at Gateway LLC
- Ambulatory Surgical Clinic/Center
- Flint, MI
- NPI 1215400320
-
Surgery Center at Gateway LLC
dba Surgery Center At Gateway
- Anesthesiology Physician
- Flint, MI
- NPI 1679270144
Practice locations
- Flint, MI2
Clinicians 6
Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (2).
-
Doddi S Brewer, CRNA
- Certified Registered Nurse Anesthetist
- Grand Blanc, MI
- NPI 1306915483
-
Alicia Deroso, CRNA
- Certified Registered Nurse Anesthetist
- Lansing, MI
- NPI 1558739367
-
Elizabeth A Gomon, CRNA
- Certified Registered Nurse Anesthetist
- Flint, MI
- NPI 1164495735
-
Debra M Marsh, CRNA
- Certified Registered Nurse Anesthetist
- Davison, MI
- NPI 1104954957
-
Terri Lynn Peace, CRNA
- Certified Registered Nurse Anesthetist
- Grand Blanc, MI
- NPI 1194994608
-
Justin S Venable, CRNA
- Certified Registered Nurse Anesthetist
- Grand Blanc, MI
- NPI 1164708517
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.