Mrs Kenzi Wood, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Sandoval, Illinois. She graduated from nursing school in 2023 and has 2 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice St Marys Hospital Centralia Illinois and her current practice location is
5802 Pope Rd, Sandoval, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 367-2673.
Mrs Kenzi Wood is licensed to practice in Illinois (license number 209029161) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1710668900.
Provider's Profile
| Full Name | Mrs Kenzi Wood |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 2 Years |
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| Location | 5802 Pope Rd, Sandoval, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Kenzi Wood graduated from nursing school in 2023
NPI Data:
- NPI Number: 1710668900
- Provider Enumeration Date: 07/31/2023
- Last Update Date: 04/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 0941649990
- Enrollment ID: I20240423003731
Medical Identifiers
Medical identifiers for Mrs Kenzi Wood such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1710668900 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367500000X | Nurse Anesthetist, Certified Registered | 209029161 (Illinois) | Primary |
| 163W00000X | Registered Nurse | 496097 (Ohio) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| St Marys Hospital Centralia Illinois | 6709788920 | 38 |
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. Mrs Kenzi Wood allows following entities to bill medicare on her behalf.
| Entity Name | St Marys Hospital Centralia Illinois |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770687196 PECOS PAC ID: 6709788920 Enrollment ID: O20040127000118 |
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| Entity Name | Anesthesia Associates Of Southern Illinois Surgery Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043757487 PECOS PAC ID: 0648555433 Enrollment ID: O20170317000152 |
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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. Mrs Kenzi Wood 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 |
Mrs Kenzi Wood, 5802 Pope Rd, Sandoval, IL 62882-2020 Ph: () - | Mrs Kenzi Wood, 5802 Pope Rd, Sandoval, IL 62882-2020 Ph: (618) 367-2673 |
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