Kurt Lester Libunao Omadlao, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Chesterfield, Michigan. He went to Wayne State University School Of Medicine and graduated in 2024 and has 2 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Northstar Anesthesia Of Michigan Iii Pllc and his current practice location is
47594 Viola Ln, Chesterfield, Michigan. You can reach out to his office (for appointments etc.) via phone at
(586) 883-0584.
Kurt Lester Libunao Omadlao is licensed to practice in Michigan (license number 4704314907) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1629898887.
Provider's Profile
| Full Name | Kurt Lester Libunao Omadlao |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 2 Years |
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| Location | 47594 Viola Ln, Chesterfield, Michigan |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kurt Lester Libunao Omadlao attended and graduated from Wayne State University School Of Medicine in 2024
NPI Data:
- NPI Number: 1629898887
- Provider Enumeration Date: 10/14/2024
- Last Update Date: 10/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 4486188315
- Enrollment ID: I20241114000866
Medical Identifiers
Medical identifiers for Kurt Lester Libunao Omadlao such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629898887 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 4704314907 (Michigan) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 4704314907 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Northstar Anesthesia Of Michigan Iii Pllc | 7911325469 | 522 |
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. Kurt Lester Libunao Omadlao allows following entities to bill medicare on his behalf.
| Entity Name | Northstar Anesthesia Of Michigan Iii Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972126209
PECOS PAC ID: 7911325469
Enrollment ID: O20200915001990 |
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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. Kurt Lester Libunao Omadlao 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 |
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Kurt Lester Libunao Omadlao, CRNA
47594 Viola Ln,
Chesterfield, MI 48047-2407
Ph: (586) 883-0584 | Kurt Lester Libunao Omadlao, CRNA
47594 Viola Ln,
Chesterfield, MI 48047-2407
Ph: (586) 883-0584 |
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