Mr Andrew Joseph Proctor, - Medicare Certified Registered Nurse Anesthetist (crna) in Canton, MI

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Mr Andrew Joseph Proctor, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Canton, Michigan. He graduated from nursing school in 2016 and has 10 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, Sjmhs Anesthesia Services and his current practice location is 800 Pheasant Woods Drive, Canton, Michigan. You can reach out to his office (for appointments etc.) via phone at (734) 812-1311.

Mr Andrew Joseph Proctor is licensed to practice in Michigan (license number 4704267973) 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 1952841637.

Contact Information

Mr Andrew Joseph Proctor,
800 Pheasant Woods Drive,
Canton, MI 48188-5224
(734) 812-1311
Not Available

Map and Direction




Provider's Profile

Full NameMr Andrew Joseph Proctor
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience10 Years
Location800 Pheasant Woods Drive, Canton, Michigan
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Andrew Joseph Proctor graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1952841637
  • Provider Enumeration Date: 03/01/2017
  • Last Update Date: 03/01/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 4486931078
  • Enrollment ID: I20170509001103

Medical Identifiers

Medical identifiers for Mr Andrew Joseph Proctor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952841637NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 4704267973 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Trinity Health Ann Arbor HospitalYpsilanti, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northstar Anesthesia Of Michigan Iii Pllc7911325469561
Sjmhs Anesthesia Services7416053483103

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. Mr Andrew Joseph Proctor allows following entities to bill medicare on his behalf.
Entity NameHuron Gastroenterology Associates PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144335639
PECOS PAC ID: 0840288221
Enrollment ID: O20040504001055
Entity NameCenter for Digestive Care LLC
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1164528527
PECOS PAC ID: 4981658374
Enrollment ID: O20050309000185
Entity NameSjmhs Anesthesia Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215026281
PECOS PAC ID: 7416053483
Enrollment ID: O20070508000487
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. Mr Andrew Joseph Proctor 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
Mr Andrew Joseph Proctor,
800 Pheasant Woods Dr,
Canton, MI 48188-5224

Ph: (734) 812-1311		Mr Andrew Joseph Proctor,
800 Pheasant Woods Drive,
Canton, MI 48188-5224

Ph: (734) 812-1311

Reviews and Comments



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.