Jason Fennema, CRNA in Grand Rapids, MI - Medicare Certified Registered Nurse Anesthetist (crna)

Jason Fennema, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Grand Rapids, Michigan. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Kalamazoo Anesthesiology P C, Macatawa Anesthesia Pc and his current practice location is 200 Jefferson Ave Se, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 391-1609.

Jason Fennema is licensed to practice in Michigan (license number 4704279909) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174060537.

Contact Information

	Jason Fennema, CRNA
	200 Jefferson Ave Se, Grand Rapids, MI 49503-4502
	(616) 391-1609
	Not Available

Map and Direction

Provider's Profile

Full Name	Jason Fennema
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	8 Years
Location	200 Jefferson Ave Se, Grand Rapids, 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.

Medical Education and Training:

Jason Fennema graduated from nursing school in 2016

NPI Data:

NPI Number: 1174060537
Provider Enumeration Date: 01/24/2017
Last Update Date: 01/26/2024

Medicare PECOS Information:

PECOS PAC ID: 3274817747
Enrollment ID: I20170228002124

Medical Identifiers

Medical identifiers for Jason Fennema such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174060537	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	4704279909 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Spectrum Health Pennock	Hastings, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kalamazoo Anesthesiology P C	3375449473	122
Macatawa Anesthesia Pc	4183682883	20

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jason Fennema allows following entities to bill medicare on his behalf.

Entity Name	American Anesthesiology Of Michigan Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487609475 PECOS PAC ID: 5294648804 Enrollment ID: O20031110000617

Entity Name	Kalamazoo Anesthesiology P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407821796 PECOS PAC ID: 3375449473 Enrollment ID: O20031210000078

Entity Name	Saint Marys Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124063078 PECOS PAC ID: 4981500436 Enrollment ID: O20040329001233

Entity Name	Macatawa Anesthesia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942242136 PECOS PAC ID: 4183682883 Enrollment ID: O20051024000107

Entity Name	American Anesthesiology Group Of Michigan Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245708403 PECOS PAC ID: 7416296041 Enrollment ID: O20190226003245

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jason Fennema is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jason Fennema, CRNA 13348 Hidden Creek Dr, Grand Haven, MI 49417-8964 Ph: () -	Jason Fennema, CRNA 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 Ph: (616) 391-1609

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Grand Rapids, MI

Anne Marie Talbot, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 616-685-6063 Fax: 616-685-3092
Mrs. Lindsay E Mckelvey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3333 Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-364-4200 Fax: 616-364-7347
Ms. Majerle Bunce, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3333 Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-364-4200 Fax: 616-364-7347
Mrs. Heather M Montgomery-kanitz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3333 Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-364-4200 Fax: 616-364-7347
Courtney Kolanowski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 616-685-5000
Mr. Patrick James Evans, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3333 Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-364-4200 Fax: 616-364-7347
Mr. Brent Zukoff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-1774

Jason Fennema, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Grand Rapids, MI