Carmen G Kislov, CRNA in Wayne, MI - Medicare Certified Registered Nurse Anesthetist (crna)

Carmen G Kislov, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Wayne, Michigan. She graduated from nursing school in 2000 and has 24 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Northstar Anesthesia Of Michigan Iii Pllc and her current practice location is 33155 Annapolis St, Wayne, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 467-4667.

Carmen G Kislov is licensed to practice in Michigan (license number 4704210733) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1063599876.

Contact Information

	Carmen G Kislov, CRNA
	33155 Annapolis St, Wayne, MI 48184-2405
	(734) 467-4667
	(734) 467-2303

Map and Direction

Provider's Profile

Full Name	Carmen G Kislov
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	24 Years
Location	33155 Annapolis St, Wayne, Michigan
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Carmen G Kislov graduated from nursing school in 2000

NPI Data:

NPI Number: 1063599876
Provider Enumeration Date: 11/01/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8921086620
Enrollment ID: I20040709000563

Medical Identifiers

Medical identifiers for Carmen G Kislov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063599876	NPI	-	NPPES
4328730	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	4704210733 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Beaumont Hospital - Wayne	Wayne, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northstar Anesthesia Of Michigan Iii Pllc	7911325469	510

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. Carmen G Kislov allows following entities to bill medicare on her behalf.

Entity Name	Chelsea Community Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568542967 PECOS PAC ID: 0648171074 Enrollment ID: O20040421001554

Entity Name	Center For Digestive Care Llc
Entity Type	Part B Supplier - Ambulatory Surgical Center
Entity Identifiers	NPI Number: 1164528527 PECOS PAC ID: 4981658374 Enrollment ID: O20050309000185

Entity Name	Northstar Anesthesia Of Michigan Iii Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972126209 PECOS PAC ID: 7911325469 Enrollment ID: O20200915001990

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. Carmen G Kislov 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
Carmen G Kislov, CRNA 33155 Annapolis St, Wayne, MI 48184-2405 Ph: (734) 467-4667	Carmen G Kislov, CRNA 33155 Annapolis St, Wayne, MI 48184-2405 Ph: (734) 467-4667

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Wayne, MI

Mrs. Kimberly Ann Harber, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 33155 Annapolis St, Wayne, MI 48184 Phone: 734-467-4000
Estrellita G Lumbo, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 33155 Annapolis St, Wayne, MI 48184 Phone: 734-467-4667 Fax: 734-467-2303
Michelle D Murphy, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 33155 Annapolis St, Wayne, MI 48184 Phone: 734-467-4667 Fax: 734-467-2303
Raymond D Johnson, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 33155 Annapolis St, Wayne, MI 48184 Phone: 734-467-4667 Fax: 734-467-2303
Valerie Maci, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 33155 Annapolis St, Wayne, MI 48184 Phone: 734-467-4667 Fax: 734-467-2303
Linda C Gottron, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 33155 Annapolis St, Wayne, MI 48184 Phone: 734-467-4667 Fax: 734-467-2303

Carmen G Kislov, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Wayne, MI