Kelly Marie Mathison, - Medicare Certified Registered Nurse Anesthetist (crna) in Clare, MI

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Kelly Marie Mathison, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Clare, Michigan. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Mymichigan Medical Center Gladwin, Mymichigan Medical Center Clare and her current practice location is 703 N Mcewan St, Clare, Michigan. You can reach out to her office (for appointments etc.) via phone at (898) 802-5000.

Kelly Marie Mathison is licensed to practice in Michigan (license number 4704254007) 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 1073881629.

Contact Information

Kelly Marie Mathison,
703 N Mcewan St,
Clare, MI 48617-1440
(898) 802-5000
Not Available

Map and Direction




Provider's Profile

Full NameKelly Marie Mathison
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience13 Years
Location703 N Mcewan St, Clare, 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 Marie Mathison graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1073881629
  • Provider Enumeration Date: 12/11/2011
  • Last Update Date: 09/04/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 4789846411
  • Enrollment ID: I20120425000731

Medical Identifiers

Medical identifiers for Kelly Marie Mathison such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073881629NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 4704254007 (Michigan)Secondary
367500000XNurse Anesthetist, Certified Registered 4704254007 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Midmichigan Medical Center-clareClare, MIHospital
Midmichigan Medical Center-gladwinGladwin, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mymichigan Medical Center Gladwin014326291555
Mymichigan Medical Center Clare701282977397

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 Marie Mathison allows following entities to bill medicare on her behalf.
Entity NameMymichigan Medical Center Midland
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770668683
PECOS PAC ID: 2264323633
Enrollment ID: O20040324001146
Entity NameMymichigan Medical Center Clare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417084278
PECOS PAC ID: 7012829773
Enrollment ID: O20040424000282
Entity NameMymichigan Medical Center Gladwin
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881869774
PECOS PAC ID: 0143262915
Enrollment ID: O20081024000094
Entity NameMymichigan Medical Center West Branch
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538566765
PECOS PAC ID: 7214251081
Enrollment ID: O20160714002424

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 Marie Mathison 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 Marie Mathison,
703 N Mcewan St,
Clare, MI 48617-1440

Ph: (586) 322-9126		Kelly Marie Mathison,
703 N Mcewan St,
Clare, MI 48617-1440

Ph: (898) 802-5000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Clare, MI

William R Groves, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 703 N Mcewan St, Clare, MI 48617
Phone: 989-802-5000    
Marc Alexander Dean, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 703 N Mcewan St, Clare, MI 48617
Phone: 989-802-5000    
Russell Glyn Rader, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 703 Mcewan, Clare, MI 48617
Phone: 989-802-8875    Fax: 989-802-8866
Mr. Eric William Houk, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 703 N Mcewan St, Clare, MI 48617
Phone: 989-802-5000    

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.