Kim Holloway, CRNA in Grosse Pointe, MI - Medicare Certified Registered Nurse Anesthetist (crna)

Kim Holloway, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Grosse Pointe, Michigan. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Henry Ford Medical Group and her current practice location is 159 Kercheval Ave, Grosse Pointe, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 569-1329.

Kim Holloway is licensed to practice in Michigan (license number 4704222209) 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 1548378615.

Contact Information

	Kim Holloway, CRNA
	159 Kercheval Ave, Grosse Pointe, MI 48236
	(586) 569-1329
	Not Available

Map and Direction

Provider's Profile

Full Name	Kim Holloway
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	19 Years
Location	159 Kercheval Ave, Grosse Pointe, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kim Holloway graduated from nursing school in 2005

NPI Data:

NPI Number: 1548378615
Provider Enumeration Date: 08/28/2006
Last Update Date: 07/17/2018

Medicare PECOS Information:

PECOS PAC ID: 1850305780
Enrollment ID: I20060131000456

Medical Identifiers

Medical identifiers for Kim Holloway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548378615	NPI	-	NPPES
104820177	Medicaid	MI
KC222209	Other	MI	BLUE CROSS OF MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	4704222209 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Henry Ford Medical Group	0547178311	2124

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. Kim Holloway allows following entities to bill medicare on her behalf.

Entity Name	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871666479 PECOS PAC ID: 0547178311 Enrollment ID: O20040124000368

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. Kim Holloway 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
Kim Holloway, CRNA 3107 Promenade Cir, Ann Arbor, MI 48108-1559 Ph: (734) 276-8054	Kim Holloway, CRNA 159 Kercheval Ave, Grosse Pointe, MI 48236 Ph: (586) 569-1329

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

Kim Holloway, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Grosse Pointe, MI