Andrea Crane Moll, CRNA in Pontiac, MI - Medicare Nurse Anesthetist, Certified Registered

Andrea Crane Moll, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Pontiac, Michigan. Her current practice location is 44405 Woodward Ave, Pontiac, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 858-6593.

Andrea Crane Moll is licensed to practice in Michigan (license number 4704232911) 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 1730116567.

Contact Information

	Andrea Crane Moll, CRNA
	44405 Woodward Ave, Pontiac, MI 48341-5023
	(248) 858-6593
	Not Available

Map and Direction

Provider's Profile

Full Name	Andrea Crane Moll
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	44405 Woodward Ave, Pontiac, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730116567
Provider Enumeration Date: 06/27/2006
Last Update Date: 01/26/2022

Medicare PECOS Information:

PECOS PAC ID: 6507877511
Enrollment ID: I20060505000147

Medical Identifiers

Medical identifiers for Andrea Crane Moll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730116567	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	4704232911 (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. Andrea Crane Moll allows following entities to bill medicare on her behalf.

Entity Name	Waterford Anesthesia, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376862474 PECOS PAC ID: 6901090489 Enrollment ID: O20101028000689

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. Andrea Crane Moll 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
Andrea Crane Moll, CRNA 255 W Michigan Ave, Po Box 1123, Jackson, MI 49201-2218 Ph: (517) 787-6440	Andrea Crane Moll, CRNA 44405 Woodward Ave, Pontiac, MI 48341-5023 Ph: (248) 858-6593

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Pontiac, MI

Wenjing Zhang, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-6593
Allison Michelle Frederick, APRN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-585-3023 Fax: 248-585-3022
Lindsey Sarnovsky, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3000
Patricia A Waugh, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-6593
Zorica Raveane, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-6593
Stephen Stawicki, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-6593
Steve Barnett, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5516 Fax: 247-338-5547

Andrea Crane Moll, CRNA - Medicare Nurse Anesthetist, Certified Registered in Pontiac, MI