Kelly Elizabeth Kerhoulas, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Port Huron, MI

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Kelly Elizabeth Kerhoulas, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Port Huron, Michigan. She graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Eastside Group Llc and her current practice location is 1221 Pine Grove Ave, Port Huron, Michigan. You can reach out to her office (for appointments etc.) via phone at (810) 987-5000.

Kelly Elizabeth Kerhoulas is licensed to practice in Michigan (license number 4704246319) 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 1134177892.

Contact Information

Kelly Elizabeth Kerhoulas, CRNA
1221 Pine Grove Ave,
Port Huron, MI 48060-3511
(810) 987-5000
(810) 985-2633

Map and Direction




Provider's Profile

Full NameKelly Elizabeth Kerhoulas
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience22 Years
Location1221 Pine Grove Ave, Port Huron, 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:
  • Kelly Elizabeth Kerhoulas graduated from nursing school in 2002
  NPI Data:
  • NPI Number: 1134177892
  • Provider Enumeration Date: 05/05/2006
  • Last Update Date: 07/09/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3678591682
  • Enrollment ID: I20051108001008

Medical Identifiers

Medical identifiers for Kelly Elizabeth Kerhoulas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134177892NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 4704246319 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Eastside Group Llc448679021923

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. Kelly Elizabeth Kerhoulas allows following entities to bill medicare on her behalf.
Entity NameNorthstar Anesthesia Of Michigan Ii Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437268026
PECOS PAC ID: 7911895164
Enrollment ID: O20040309000625
Entity NameSuperior Anesthetists Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831144518
PECOS PAC ID: 5890784987
Enrollment ID: O20040512000785
Entity NameEastside Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235365289
PECOS PAC ID: 4486790219
Enrollment ID: O20091008000624
Entity NameResource Anesthesiology Associates Of Mi Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568755882
PECOS PAC ID: 4082883053
Enrollment ID: O20110808000715
Entity NamePrime Healthcare Services-port Huron Llc
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1912525361
PECOS PAC ID: 7214245208
Enrollment ID: O20200729002203

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. Kelly Elizabeth Kerhoulas 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
Kelly Elizabeth Kerhoulas, CRNA
1221 Pine Grove Ave,
Port Huron, MI 48060-3511

Ph: (810) 987-5000		Kelly Elizabeth Kerhoulas, CRNA
1221 Pine Grove Ave,
Port Huron, MI 48060-3511

Ph: (810) 987-5000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Port Huron, MI

Philip Ross Lepine, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060
Phone: 810-987-5000    
Mr. Todd D Boswell, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2601 Electric Ave, Port Huron, MI 48060
Phone: 810-985-1550    Fax: 810-966-3104
Patrina Quinn, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060
Phone: 810-987-5000    
David John Arden, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060
Phone: 810-987-5000    Fax: 810-985-2633
Sherry Lynn Bombardo, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060
Phone: 810-985-7000    Fax: 810-985-2633
Carrie L Cook, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060
Phone: 952-442-9770    Fax: 952-442-3620
Lynn A Smith, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060
Phone: 810-987-5000    Fax: 952-442-3620

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.