Christina L Mandalis-defour, CRNA in Clinton Twp, MI - Medicare Certified Registered Nurse Anesthetist (crna)

Christina L Mandalis-defour, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Clinton Twp, Michigan. She went to Wayne State University School Of Medicine and graduated in 1997 and has 29 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Capital Anesthesia Solutions Of Florida Ii, Llc and her current practice location is 15855 19 Mile Rd, Clinton Twp, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 263-2370.

Christina L Mandalis-defour is licensed to practice in Michigan (license number 4704215164) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477691277.

Contact Information

	Christina L Mandalis-defour, CRNA
	15855 19 Mile Rd, Clinton Twp, MI 48038-3504
	(586) 263-2370
	Not Available

Map and Direction

Provider's Profile

Full Name	Christina L Mandalis-defour
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	29 Years
Location	15855 19 Mile Rd, Clinton Twp, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Christina L Mandalis-defour attended and graduated from Wayne State University School Of Medicine in 1997

NPI Data:

NPI Number: 1477691277
Provider Enumeration Date: 02/02/2007
Last Update Date: 06/01/2022

Medicare PECOS Information:

PECOS PAC ID: 6103018502
Enrollment ID: I20250531000008

Medical Identifiers

Medical identifiers for Christina L Mandalis-defour such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477691277	NPI	-	NPPES
4445020	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	4704215164 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Physicians Regional Medical Center - Pine Ridge	Naples, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Capital Anesthesia Solutions Of Florida Ii, Llc	7911323720	199

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. Christina L Mandalis-defour allows following entities to bill medicare on her behalf.

Entity Name	Capital Anesthesia Solutions Of Florida Ii, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891318481 PECOS PAC ID: 7911323720 Enrollment ID: O20200811002165

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. Christina L Mandalis-defour 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
Christina L Mandalis-defour, CRNA 15855 19 Mile Rd, Clinton Twp, MI 48038-3504 Ph: (586) 263-2370	Christina L Mandalis-defour, CRNA 15855 19 Mile Rd, Clinton Twp, MI 48038-3504 Ph: (586) 263-2370

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Clinton Twp, MI

Jeffrey A Berg, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Twp, MI 48038 Phone: 586-263-2370
Kevin M Kolb, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Twp, MI 48038 Phone: 586-263-2370
Andrew C Wirebaugh, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Twp, MI 48038 Phone: 586-263-2370
Steven P Feyers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Twp, MI 48038 Phone: 586-263-2370
Ms. Brenda J Lehman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Twp, MI 48038 Phone: 586-263-2370
Jeffrey M Kirby, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Twp, MI 48038 Phone: 586-263-2300
Naomi Koenders Peyerk, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 15855 19 Mile Rd, Clinton Twp, MI 48038 Phone: 586-263-2370

Christina L Mandalis-defour, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Clinton Twp, MI