Kimberly Lodge, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Royal Oak, MI

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Kimberly Lodge, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Royal Oak, Michigan. She graduated from nursing school in 1993 and has 32 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, Superior Anesthetists Associates Inc and her current practice location is 3601 W 13 Mile Rd, 400 Fsc - Pcs, Royal Oak, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 423-3144.

Kimberly Lodge is licensed to practice in Michigan (license number 4704164364) 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 1427026889.

Contact Information

Kimberly Lodge, CRNA
3601 W 13 Mile Rd, 400 Fsc - Pcs,
Royal Oak, MI 48073-6769
(248) 423-3144
Not Available

Map and Direction




Provider's Profile

Full NameKimberly Lodge
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience32 Years
Location3601 W 13 Mile Rd, Royal Oak, Michigan
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kimberly Lodge graduated from nursing school in 1993
  NPI Data:
  • NPI Number: 1427026889
  • Provider Enumeration Date: 03/10/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8527028901
  • Enrollment ID: I20041012000479

Medical Identifiers

Medical identifiers for Kimberly Lodge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427026889NPI-NPPES
4304953MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 4704164364 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Eastside Group Llc448679021923
Superior Anesthetists Associates Inc589078498757

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. Kimberly Lodge allows following entities to bill medicare on her behalf.
Entity NameComprehensive Anesthesia & Perioperative Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245202241
PECOS PAC ID: 1355244757
Enrollment ID: O20040202000363
Entity NameWilliam Beaumont Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811044878
PECOS PAC ID: 9335051093
Enrollment ID: O20040312000217
Entity NameSuperior Anesthetists Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831144518
PECOS PAC ID: 5890784987
Enrollment ID: O20040512000785
Entity NameNorthwestern Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215106679
PECOS PAC ID: 4486723657
Enrollment ID: O20080514000823
Entity NameEastside Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235365289
PECOS PAC ID: 4486790219
Enrollment ID: O20091008000624
Entity NameMichigan Crnas Staffing Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851666424
PECOS PAC ID: 7416105226
Enrollment ID: O20120920000441
Entity NameWest Michigan Aas Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295149227
PECOS PAC ID: 9931324076
Enrollment ID: O20140707000372
Entity NameNovi Aas Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598176919
PECOS PAC ID: 1557587847
Enrollment ID: O20140722002052
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 NameMotor City Anesthesia Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457058125
PECOS PAC ID: 3173962800
Enrollment ID: O20240415002192

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. Kimberly Lodge 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
Kimberly Lodge, CRNA
3601 W 13 Mile Rd, 400 Fsc - Pcs,
Royal Oak, MI 48073-6769

Ph: (248) 423-3144		Kimberly Lodge, CRNA
3601 W 13 Mile Rd, 400 Fsc - Pcs,
Royal Oak, MI 48073-6769

Ph: (248) 423-3144

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Royal Oak, MI

Ban Batu, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073
Phone: 248-423-3144    
Amie Hamper,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073
Phone: 248-898-7784    Fax: 248-898-8181
Michelle Glaeser, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3601 W 13 Mile Rd, 400 Fsc - Pcs, Royal Oak, MI 48073
Phone: 248-423-3144    
Thomas Lundblad, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 3601 W 13 Mile Rd, 400 Fsc - Pcs, Royal Oak, MI 48073
Phone: 248-423-3144    
Patricia Ljubic, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3601 W 13 Mile Rd, 400 Fsc - Pcs, Royal Oak, MI 48073
Phone: 248-423-3144    
Catherine Wolfson, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 3601 W. 13 Mile Rd, 400 Fsc-pcs, Royal Oak, MI 48073
Phone: 248-423-2481    
Nancy Berner, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 3601 W 13 Mile Rd, Beaumont Hospital - Royal Oak, Royal Oak, MI 48073
Phone: 248-898-7784    Fax: 248-898-8181

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.