Kimberly Nicole Stanford, CRNA - Medicare Nurse Anesthetist, Certified Registered in Melrose Park, IL

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Kimberly Nicole Stanford, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Melrose Park, Illinois. Her current practice location is 701 W North Ave, Anesthesia Department, Melrose Park, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 681-7859.

Kimberly Nicole Stanford is licensed to practice in Illinois (license number 209009397) 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 1083991285.

Contact Information

Kimberly Nicole Stanford, CRNA
701 W North Ave, Anesthesia Department,
Melrose Park, IL 60160-1612
(708) 681-7859
Not Available

Map and Direction




Provider's Profile

Full NameKimberly Nicole Stanford
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location701 W North Ave, Melrose Park, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083991285
  • Provider Enumeration Date: 11/16/2011
  • Last Update Date: 04/20/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8325207277
  • Enrollment ID: I20120312000866

Medical Identifiers

Medical identifiers for Kimberly Nicole Stanford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083991285NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 041347741 (Illinois)Secondary
367500000XNurse Anesthetist, Certified Registered 209009397 (Illinois)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. Kimberly Nicole Stanford allows following entities to bill medicare on her behalf.
Entity NameAdvocate Health And Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700824455
PECOS PAC ID: 7810800935
Enrollment ID: O20031106000064
Entity NameGottlieb Midwest Anesthesiologists, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003832767
PECOS PAC ID: 8123929940
Enrollment ID: O20040115000619

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. Kimberly Nicole Stanford 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 AddressPractice Location Address
Kimberly Nicole Stanford, CRNA
6626 S Kimbark Ave, Unit 1n,
Chicago, IL 60637-4488

Ph: (708) 710-7784		Kimberly Nicole Stanford, CRNA
701 W North Ave, Anesthesia Department,
Melrose Park, IL 60160-1612

Ph: (708) 681-7859

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Melrose Park, IL

Tiffany Jean Vajda, CRNA
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Practice Location: 701 W North Ave, Melrose Park, IL 60160
Phone: 708-681-3200    
Andrew M Christ, CRNA
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Medicare: Medicare Enrolled
Practice Location: 701 W North Ave, Melrose Park, IL 60160
Phone: 708-681-3200    
Arshnoor Aslam Qamaruddin, CRNA
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Practice Location: 701 W North Ave, Melrose Park, IL 60160
Phone: 708-681-3200    
Dana Marie Macaluso, CRNA
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Medicare: Accepting Medicare Assignments
Practice Location: 701 W North Ave, Melrose Park, IL 60160
Phone: 708-681-3200    
Samuel Ortega, CRNA
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Medicare: Accepting Medicare Assignments
Practice Location: 701 W North Ave, Melrose Park, IL 60160
Phone: 708-681-3200    
Andrew Reichard,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 701 W North Ave, Melrose Park, IL 60160
Phone: 708-681-3200    
Anoop Banathia, CRNA
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Medicare: Accepting Medicare Assignments
Practice Location: 2912 Marion Ave, Melrose Park, IL 60164
Phone: 847-260-5115    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.