Mr Stephen R Parker, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mattawan, Michigan. He went to Michigan State University College Of Osteopathic Medicine and graduated in 2022 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Coachella Valley Anesthesia A Professional Corporation and his current practice location is
43219 Mitchell Ave, Mattawan, Michigan. You can reach out to his office (for appointments etc.) via phone at
(616) 821-4759.
Mr Stephen R Parker is licensed to practice in Michigan (license number 4704242328) 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 1629282074.
Provider's Profile
| Full Name | Mr Stephen R Parker |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 4 Years |
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| Location | 43219 Mitchell Ave, Mattawan, Michigan |
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| 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 Stephen R Parker attended and graduated from Michigan State University College Of Osteopathic Medicine in 2022
NPI Data:
- NPI Number: 1629282074
- Provider Enumeration Date: 05/09/2007
- Last Update Date: 03/04/2019
Medicare PECOS Information:
- PECOS PAC ID: 9739272501
- Enrollment ID: I20221130001450
Medical Identifiers
Medical identifiers for Mr Stephen R Parker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1629282074 | NPI | - | NPPES |
| 5185383 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367500000X | Nurse Anesthetist, Certified Registered | 4704242328 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Coachella Valley Anesthesia A Professional Corporation | 5698131969 | 107 |
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 Stephen R Parker allows following entities to bill medicare on his behalf.
| Entity Name | Landmark Anesthesia Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770035024 PECOS PAC ID: 5698055804 Enrollment ID: O20161206000144 |
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| Entity Name | Landmark Anesthesia Medical Group Prime |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801430467 PECOS PAC ID: 5890122683 Enrollment ID: O20200217000203 |
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| Entity Name | Coachella Valley Anesthesia A Professional Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013662048 PECOS PAC ID: 5698131969 Enrollment ID: O20230512000330 |
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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. Mr Stephen R Parker 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 Stephen R Parker, CRNA 900 Peeler St, Kalamazoo, MI 49008-2380 Ph: (269) 345-8618 | Mr Stephen R Parker, CRNA 43219 Mitchell Ave, Mattawan, MI 49071-8919 Ph: (616) 821-4759 |
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