Mr Corey J Landacre, CRNA in Grand Rapids, MI - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Corey J Landacre, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Grand Rapids, Michigan. He graduated from nursing school in 2012 and has 13 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Main Street Anesthesia Of New Mexico, Llc, Anesthesia Associates Of New Mexico P C and his current practice location is 3333 Evergreen Dr Ne, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 364-4200.

Mr Corey J Landacre is licensed to practice in Michigan (license number 4704266020) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1760742977.

Contact Information

	Mr Corey J Landacre, CRNA
	3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493
	(616) 364-4200
	(616) 364-7347

Map and Direction

Provider's Profile

Full Name	Mr Corey J Landacre
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	13 Years
Location	3333 Evergreen Dr Ne, Grand Rapids, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Corey J Landacre graduated from nursing school in 2012

NPI Data:

NPI Number: 1760742977
Provider Enumeration Date: 05/22/2012
Last Update Date: 07/03/2014

Medicare PECOS Information:

PECOS PAC ID: 6103072855
Enrollment ID: I20220714001760

Medical Identifiers

Medical identifiers for Mr Corey J Landacre such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760742977	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	4704266020 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Presbyterian Hospital	Albuquerque, NM	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Main Street Anesthesia Of New Mexico, Llc	3476807538	167
Anesthesia Associates Of New Mexico P C	4385536564	75

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 Corey J Landacre allows following entities to bill medicare on his behalf.

Entity Name	Anesthesia Associates Of New Mexico P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912900754 PECOS PAC ID: 4385536564 Enrollment ID: O20040325000455

Entity Name	Main Street Anesthesia Of New Mexico, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275010985 PECOS PAC ID: 3476807538 Enrollment ID: O20181108002622

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 Corey J Landacre 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
Mr Corey J Landacre, CRNA 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 Ph: (616) 364-4200	Mr Corey J Landacre, CRNA 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 Ph: (616) 364-4200

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Grand Rapids, MI

Anne Marie Talbot, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 616-685-6063 Fax: 616-685-3092
Mrs. Lindsay E Mckelvey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3333 Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-364-4200 Fax: 616-364-7347
Mrs. Heather M Montgomery-kanitz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3333 Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-364-4200 Fax: 616-364-7347
Courtney Kolanowski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 616-685-5000
Mr. Patrick James Evans, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-267-0250
Mr. Brent Zukoff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-1774
Mrs. Nipaporn Baker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 616-732-8956

Mr Corey J Landacre, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Grand Rapids, MI