Kristopher Michael Matelic, CRNA in Detroit, MI - Medicare Certified Registered Nurse Anesthetist (crna)

Kristopher Michael Matelic, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Detroit, Michigan. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Northstar Anesthesia Of Michigan Pllc, Providence Health And Service- Washington and his current practice location is 3990 John R St, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 745-2000.

Kristopher Michael Matelic is licensed to practice in Michigan (license number 4704270927) 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 1407243835.

Contact Information

	Kristopher Michael Matelic, CRNA
	3990 John R St, Detroit, MI 48201-2018
	(313) 745-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Kristopher Michael Matelic
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	9 Years
Location	3990 John R St, Detroit, 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:

Kristopher Michael Matelic graduated from nursing school in 2015

NPI Data:

NPI Number: 1407243835
Provider Enumeration Date: 04/23/2015
Last Update Date: 05/17/2015

Medicare PECOS Information:

PECOS PAC ID: 2163735788
Enrollment ID: I20150724011100

Medical Identifiers

Medical identifiers for Kristopher Michael Matelic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407243835	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	4704270927 (Michigan)	Primary
163W00000X	Registered Nurse	4704270927 (Michigan)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Prov Sacred Hrt Med Ctr & Childs Hosp.	Spokane, WA	Hospital
Providence Holy Family Hospital	Spokane, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northstar Anesthesia Of Michigan Pllc	9638481591	182
Providence Health And Service- Washington	0840279758	149

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. Kristopher Michael Matelic allows following entities to bill medicare on his behalf.

Entity Name	Northstar Anesthesia Of Michigan Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871986372 PECOS PAC ID: 9638481591 Enrollment ID: O20150707000070

Entity Name	Radius Anesthesia Of Michigan Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578002523 PECOS PAC ID: 0547545709 Enrollment ID: O20170330001527

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

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. Kristopher Michael Matelic 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
Kristopher Michael Matelic, CRNA 4106 Merrick St, Dearborn Heights, MI 48125-2854 Ph: (734) 778-0262	Kristopher Michael Matelic, CRNA 3990 John R St, Detroit, MI 48201-2018 Ph: (313) 745-2000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Detroit, MI

Kimberly Dawn Harris, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3990 John R St, Detroit, MI 48201 Phone: 313-745-8521
Caroline L Talbert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3990 John R St, Detroit, MI 48201 Phone: 313-745-7600 Fax: 952-442-3620
Kyle Krupa, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600
Lisa Zetuna, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600
Kurt Belen, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10814 Duprey St, Detroit, MI 48224 Phone: 313-410-1988
Dr. Timothy Turner, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-8078
Ms. Laura Lynn Rivera, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600

Kristopher Michael Matelic, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Detroit, MI