Jillian Mouranie Champine, CRNA in Grosse Pointe, MI - Medicare Certified Registered Nurse Anesthetist (crna)

Jillian Mouranie Champine, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Grosse Pointe, Michigan. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Alliance Anesthesia Pllc, Miycrnas Llc, Northstar Anesthesia Of Michigan Iii Pllc and her current practice location is 468 Cadieux Rd, Beaumont Crna-gp, Grosse Pointe, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 473-1684.

Jillian Mouranie Champine is licensed to practice in Michigan (license number 4704266732) 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 1326387143.

Contact Information

	Jillian Mouranie Champine, CRNA
	468 Cadieux Rd, Beaumont Crna-gp, Grosse Pointe, MI 48230-1507
	(313) 473-1684
	Not Available

Map and Direction

Provider's Profile

Full Name	Jillian Mouranie Champine
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	12 Years
Location	468 Cadieux Rd, Grosse Pointe, 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:

Jillian Mouranie Champine graduated from nursing school in 2012

NPI Data:

NPI Number: 1326387143
Provider Enumeration Date: 02/14/2013
Last Update Date: 08/15/2023

Medicare PECOS Information:

PECOS PAC ID: 3476798414
Enrollment ID: I20130322000441

Medical Identifiers

Medical identifiers for Jillian Mouranie Champine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326387143	NPI	-	NPPES
430F364420	Other	MI	BCBSM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	4704266732 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Beaumont Hospital Royal Oak	Royal oak, MI	Hospital
Southeast Michigan Surgical Hospital Llc	Warren, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Alliance Anesthesia Pllc	0143538769	22
Miycrnas Llc	4981013257	5
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. Jillian Mouranie Champine allows following entities to bill medicare on her behalf.

Entity Name	William Beaumont Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811044878 PECOS PAC ID: 9335051093 Enrollment ID: O20040312000217

Entity Name	Jawad A Shah, Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942402391 PECOS PAC ID: 5799779633 Enrollment ID: O20040413000798

Entity Name	Alliance Anesthesia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063880052 PECOS PAC ID: 0143538769 Enrollment ID: O20151001001050

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

Entity Name	Miycrnas Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255915757 PECOS PAC ID: 4981013257 Enrollment ID: O20210518000629

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. Jillian Mouranie Champine 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
Jillian Mouranie Champine, CRNA 130 Town Center Dr Ste 203, Beaumont Physician Partners Payor Enrollment, Troy, MI 48084-1744 Ph: () -	Jillian Mouranie Champine, CRNA 468 Cadieux Rd, Beaumont Crna-gp, Grosse Pointe, MI 48230-1507 Ph: (313) 473-1684

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Grosse Pointe, MI

Kathleen M Mclaren, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-343-1684
Shirley A Hardy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-343-1684
Nayna Lal, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-473-1000
Eric A Reim, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-343-1684
Laura A Pytiak, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-473-1000
Mr. Mark B. Wagner, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 248-577-3520 Fax: 248-577-3526
Jodi R White-johnson, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-343-1684

Jillian Mouranie Champine, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Grosse Pointe, MI