Mrs Anjelica Dunlap Mamudu, CRNA in Detroit, MI - Medicare Nurse Anesthetist, Certified Registered

Mrs Anjelica Dunlap Mamudu, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Detroit, Michigan. Her current practice location is 22101 Moross Rd, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 343-4000.

Mrs Anjelica Dunlap Mamudu is licensed to practice in Michigan (license number 4704324253) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124734926.

Contact Information

	Mrs Anjelica Dunlap Mamudu, CRNA
	22101 Moross Rd, Detroit, MI 48236-2148
	(313) 343-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Anjelica Dunlap Mamudu
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	22101 Moross Rd, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124734926
Provider Enumeration Date: 01/25/2023
Last Update Date: 03/19/2024

Medicare PECOS Information:

PECOS PAC ID: 9133592033
Enrollment ID: I20230223001474

Medical Identifiers

Medical identifiers for Mrs Anjelica Dunlap Mamudu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124734926	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	4704324253 (Michigan)	Primary

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. Mrs Anjelica Dunlap Mamudu allows following entities to bill medicare on her behalf.

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

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. Mrs Anjelica Dunlap Mamudu 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
Mrs Anjelica Dunlap Mamudu, CRNA 23670 Radclift St, Oak Park, MI 48237-1932 Ph: (248) 269-3255	Mrs Anjelica Dunlap Mamudu, CRNA 22101 Moross Rd, Detroit, MI 48236-2148 Ph: (313) 343-4000

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

Mrs Anjelica Dunlap Mamudu, CRNA - Medicare Nurse Anesthetist, Certified Registered in Detroit, MI