Lisa Hydorn, - Medicare Certified Registered Nurse Anesthetist (crna) in Novi, MI

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Lisa Hydorn, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Novi, Michigan. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Northstar Anesthesia Of Michigan Iii Pllc, Psj Anesthesia Pc, Ascension Providence Rochester Hospital and her current practice location is 47601 Grand River Ave, Novi, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 465-4249.

Lisa Hydorn is licensed to practice in Michigan (license number 4704289100) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1598238172.

Contact Information

Lisa Hydorn,
47601 Grand River Ave,
Novi, MI 48374-1233
(248) 465-4249
Not Available

Map and Direction




Provider's Profile

Full NameLisa Hydorn
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience8 Years
Location47601 Grand River Ave, Novi, Michigan
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lisa Hydorn graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1598238172
  • Provider Enumeration Date: 01/07/2019
  • Last Update Date: 01/07/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9234479114
  • Enrollment ID: I20190313001521

Medical Identifiers

Medical identifiers for Lisa Hydorn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598238172NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 4704289100 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension Providence - Crittenton Hospital Medical CenterRochester, MIHospital
Ascension Providence Hospital, Southfield And NoviSouthfield, MIHospital
Beaumont Hospital, TroyTroy, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northstar Anesthesia Of Michigan Iii Pllc7911325469522
Psj Anesthesia Pc832534248872
Ascension Providence Rochester Hospital882099409889

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. Lisa Hydorn allows following entities to bill medicare on her behalf.
Entity NameAscension Providence Rochester Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235252321
PECOS PAC ID: 8820994098
Enrollment ID: O20031209000552
Entity NameNorthwestern Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215106679
PECOS PAC ID: 4486723657
Enrollment ID: O20080514000823
Entity NameWest Michigan Aas Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295149227
PECOS PAC ID: 9931324076
Enrollment ID: O20140707000372
Entity NamePsj Anesthesia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275905796
PECOS PAC ID: 8325342488
Enrollment ID: O20160210000814
Entity NameNorthstar Anesthesia Of Michigan Iii Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972126209
PECOS PAC ID: 7911325469
Enrollment ID: O20200915001990

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. Lisa Hydorn 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
Lisa Hydorn,
30400 Telegraph Rd Ste 405,
Bingham Farms, MI 48025-5817

Ph: () -		Lisa Hydorn,
47601 Grand River Ave,
Novi, MI 48374-1233

Ph: (248) 465-4249

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Novi, MI

Michael B Pfeifer, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 47601 Grand River Ave, Novi, MI 48374
Phone: 248-465-4100    
Mrs. Amanda Lynn Murray, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 47601 Grand River Ave, Novi, MI 48374
Phone: 248-830-2616    
Victoria Zolkewsky, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 39450 W 12 Mile Rd, Novi, MI 48377
Phone: 248-344-6688    
Ms. Jing Zhang, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 47601 Grand River Ave, Novi, MI 48374
Phone: 248-465-4210    
Christopher James Casinelli, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 47601 Grand River Ave, Novi, MI 48374
Phone: 248-465-4100    
Christine Desilva,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 20755 Emily Ct, Novi, MI 48375
Phone: 248-760-0592    
Therese Tanski, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 47601 Grand River Ave, Novi, MI 48374
Phone: 248-465-4100    

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.