Khareena L Gordon, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Detroit, MI

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Khareena L Gordon, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Detroit, Michigan. She graduated from nursing school in 2009 and has 15 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, Pinnacle Anesthesia Pllc, Northstar Anesthesia Of Michigan Pllc and her current practice location is 6071 W Outer Dr, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 966-6933.

Khareena L Gordon is licensed to practice in Michigan (license number 4704215392) 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 1356663397.

Contact Information

Khareena L Gordon, CRNA
6071 W Outer Dr,
Detroit, MI 48235-2624
(313) 966-6933
Not Available

Map and Direction




Provider's Profile

Full NameKhareena L Gordon
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience15 Years
Location6071 W Outer Dr, 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:
  • Khareena L Gordon graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1356663397
  • Provider Enumeration Date: 02/18/2010
  • Last Update Date: 01/27/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6204964109
  • Enrollment ID: I20100513001028

Medical Identifiers

Medical identifiers for Khareena L Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356663397NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 4704215392 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sinai-grace HospitalDetroit, MIHospital
Southeast Michigan Surgical Hospital LlcWarren, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Alliance Anesthesia Pllc014353876922
Pinnacle Anesthesia Pllc862847119039
Northstar Anesthesia Of Michigan Pllc9638481591180

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. Khareena L Gordon allows following entities to bill medicare on her behalf.
Entity NameHenry Ford Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871666479
PECOS PAC ID: 0547178311
Enrollment ID: O20040124000368
Entity NameJawad A Shah, Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942402391
PECOS PAC ID: 5799779633
Enrollment ID: O20040413000798
Entity NameSurgical Centers Of Michigan Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1962463133
PECOS PAC ID: 1355393364
Enrollment ID: O20050218000062
Entity NameWaterford Anesthesia, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376862474
PECOS PAC ID: 6901090489
Enrollment ID: O20101028000689
Entity NameMacomb Endoscopy Center Plc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1780923128
PECOS PAC ID: 1850536012
Enrollment ID: O20130319000064
Entity NameMichigan Interventional Pain Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861819161
PECOS PAC ID: 4385867266
Enrollment ID: O20140521002054
Entity NameNorthstar Anesthesia Of Michigan Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871986372
PECOS PAC ID: 9638481591
Enrollment ID: O20150707000070
Entity NameAlliance Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063880052
PECOS PAC ID: 0143538769
Enrollment ID: O20151001001050
Entity NamePsj Anesthesia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275905796
PECOS PAC ID: 8325342488
Enrollment ID: O20160210000814
Entity NameAsa Staffing Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114378981
PECOS PAC ID: 3971898644
Enrollment ID: O20160818002713
Entity NameNorthstar Anesthesia Of Michigan Iii Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972126209
PECOS PAC ID: 7911325469
Enrollment ID: O20200915001990
Entity NamePinnacle Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295301133
PECOS PAC ID: 8628471190
Enrollment ID: O20210721000763

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. Khareena L Gordon 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
Khareena L Gordon, CRNA
Po Box 67000, Dept 203401,
Detroit, MI 48267-2034

Ph: (313) 966-6933		Khareena L Gordon, CRNA
6071 W Outer Dr,
Detroit, MI 48235-2624

Ph: (313) 966-6933

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Detroit, MI

Kimberly Dawn Harris, CRNA
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Practice Location: 3990 John R St, Detroit, MI 48201
Phone: 313-745-8521    
Caroline L Talbert, CRNA
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Kyle Krupa,
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Lisa Zetuna,
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Kurt Belen, RN
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Phone: 313-410-1988    
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
Nurse Anesthetist - CR
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.