Kellie Martin, CRNA in Detroit, MI - Medicare Certified Registered Nurse Anesthetist (crna)

Kellie Martin, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Detroit, Michigan. She graduated from nursing school in 1996 and has 28 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Ascension Macomb Oakland Hospital and her current practice location is 22101 Moross, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 343-4766.

Kellie Martin is licensed to practice in Michigan (license number 4704173942) 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 1629032636.

Contact Information

	Kellie Martin, CRNA
	22101 Moross, Detroit, MI 48226
	(313) 343-4766
	Not Available

Map and Direction

Provider's Profile

Full Name	Kellie Martin
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	28 Years
Location	22101 Moross, Detroit, 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:

Kellie Martin graduated from nursing school in 1996

NPI Data:

NPI Number: 1629032636
Provider Enumeration Date: 04/14/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2860458619
Enrollment ID: I20041203000569

Medical Identifiers

Medical identifiers for Kellie Martin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629032636	NPI	-	NPPES
KM173942	Other	MI	BLUE CROSS OF MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	4704173942 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ascension Macomb Oakland Hosp-warren Campus	Warren, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ascension Macomb Oakland Hospital	7315859725	121

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. Kellie Martin allows following entities to bill medicare on her behalf.

Entity Name	Ascension Macomb Oakland Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396789434 PECOS PAC ID: 7315859725 Enrollment ID: O20031105000692

Entity Name	Ascension Macomb Oakland Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871793505 PECOS PAC ID: 7315859725 Enrollment ID: O20080604000742

Entity Name	Eastside Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235365289 PECOS PAC ID: 4486790219 Enrollment ID: O20091008000624

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. Kellie Martin 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
Kellie Martin, CRNA 39086 Vassar, Sterling Heights, MI 48313 Ph: (586) 532-7074	Kellie Martin, CRNA 22101 Moross, Detroit, MI 48226 Ph: (313) 343-4766

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

Kellie Martin, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Detroit, MI