Ms Kimberly Ah Sundland, CRNA in Hattiesburg, MS - Medicare Certified Registered Nurse Anesthetist (crna)

Ms Kimberly Ah Sundland, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Hattiesburg, Mississippi. She graduated from nursing school in 2001 and has 23 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Lifelinc Anesthesia Pllc and her current practice location is 415 S 28th Ave, Hattiesburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 261-3606.

Ms Kimberly Ah Sundland is licensed to practice in Mississippi (license number R813576) 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 1083707814.

Contact Information

	Ms Kimberly Ah Sundland, CRNA
	415 S 28th Ave, Hattiesburg, MS 39401-7246
	(601) 261-3606
	(601) 579-5383

Map and Direction

Provider's Profile

Full Name	Ms Kimberly Ah Sundland
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	23 Years
Location	415 S 28th Ave, Hattiesburg, Mississippi
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:

Ms Kimberly Ah Sundland graduated from nursing school in 2001

NPI Data:

NPI Number: 1083707814
Provider Enumeration Date: 10/02/2006
Last Update Date: 03/14/2018

Medicare PECOS Information:

PECOS PAC ID: 2264428994
Enrollment ID: I20120619000098

Medical Identifiers

Medical identifiers for Ms Kimberly Ah Sundland such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083707814	NPI	-	NPPES
02576323	Medicaid	MS
8824103	Other	MS	CIGNA
K142-0002	Other	VA	CARE FIRST 2005
139180	Other	VA	TRIGON
484645	Other	VA	NCPPO
1083707814	Medicaid	VA
3461546	Other	MS	UNITED HEALTHCARE
9840251	Other	MS	AETNA
302I439809	Other	MS	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	3870 (South Carolina)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	R813576 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lifelinc Anesthesia Pllc	0941347447	144

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. Ms Kimberly Ah Sundland allows following entities to bill medicare on her behalf.

Entity Name	Hattiesburg Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685

Entity Name	Lifelinc Anesthesia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801021464 PECOS PAC ID: 0941347447 Enrollment ID: O20130522000277

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. Ms Kimberly Ah Sundland 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
Ms Kimberly Ah Sundland, CRNA 1420 S 28th Ave, Hattiesburg, MS 39402-3107 Ph: (601) 264-3937	Ms Kimberly Ah Sundland, CRNA 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 261-3606

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Hattiesburg, MS

Darvin L Sibley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5166
Jeremy Alan Vance, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5240
Mr. Corey White, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5383
Daniel Attaway, DNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606
Brandon Scott Figueiredo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5383
Scott Evans Walker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5166

Ms Kimberly Ah Sundland, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Hattiesburg, MS