Omotara Kufeji, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Detroit, MI

Omotara Kufeji, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Detroit, Michigan. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Ascension St John Hospital, Psj Anesthesia Pc and her current practice location is 22101 Moross Rd, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 343-7075.

Omotara Kufeji is licensed to practice in Michigan (license number 4704287651) 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 1013490770.

Contact Information

Omotara Kufeji, CRNA
22101 Moross Rd,
Detroit, MI 48236-2148
(313) 343-7075
Not Available

Map and Direction




Provider's Profile

Full NameOmotara Kufeji
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience6 Years
Location22101 Moross Rd, Detroit, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Omotara Kufeji graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1013490770
  • Provider Enumeration Date: 09/10/2018
  • Last Update Date: 02/07/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0042558900
  • Enrollment ID: I20190219001998

Medical Identifiers

Medical identifiers for Omotara Kufeji such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013490770NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 4704287651 (Michigan)Secondary
367500000XNurse Anesthetist, Certified Registered 4704287651 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension St John HospitalDetroit, MIHospital
Ascension Providence Hospital, Southfield And NoviSouthfield, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ascension St John Hospital3173424082296
Psj Anesthesia Pc832534248894

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. Omotara Kufeji allows following entities to bill medicare on her behalf.
Entity NameAscension St John Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598896995
PECOS PAC ID: 3173424082
Enrollment ID: O20040130000407
Entity NamePsj Anesthesia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275905796
PECOS PAC ID: 8325342488
Enrollment ID: O20160210000814

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. Omotara Kufeji 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
Omotara Kufeji, CRNA
25002 Riema St,
Taylor, MI 48180-7975

Ph: (313) 244-4161
Omotara Kufeji, CRNA
22101 Moross Rd,
Detroit, MI 48236-2148

Ph: (313) 343-7075

Reviews and Comments


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Kimberly Dawn Harris, CRNA
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Caroline L Talbert, CRNA
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Kyle Krupa,
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Dr. Timothy Turner, CRNA
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Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-916-8078    
Ms. Laura Lynn Rivera, CRNA
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Medicare: Accepting Medicare Assignments
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-916-2600    

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.