Kristen Whiteside, - Medicare Nurse Anesthetist, Certified Registered in Detroit, MI

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Kristen Whiteside, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Detroit, Michigan. Her current practice location is 3990 John R St, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 745-8040.

Kristen Whiteside is licensed to practice in Ohio (license number APRN.CRNA.0020732) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1083325237.

Contact Information

Kristen Whiteside,
3990 John R St,
Detroit, MI 48201-2018
(313) 745-8040
Not Available

Map and Direction




Provider's Profile

Full NameKristen Whiteside
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location3990 John R St, Detroit, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083325237
  • Provider Enumeration Date: 12/08/2022
  • Last Update Date: 01/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4688044308
  • Enrollment ID: I20221221001221

Medical Identifiers

Medical identifiers for Kristen Whiteside such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083325237NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 4704312224 (Michigan)Secondary
163W00000XRegistered Nurse 475580 (Ohio)Secondary
367500000XNurse Anesthetist, Certified Registered APRN.CRNA.0020732 (Ohio)Primary

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. Kristen Whiteside allows following entities to bill medicare on her behalf.
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 NameJawad A Shah, Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952678914
PECOS PAC ID: 5799779633
Enrollment ID: O20220608001188

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. Kristen Whiteside 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
Kristen Whiteside,
19746 Fairbrook Dr,
Macomb, MI 48044-2840

Ph: (586) 549-7356		Kristen Whiteside,
3990 John R St,
Detroit, MI 48201-2018

Ph: (313) 745-8040

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Detroit, MI

Kimberly Dawn Harris, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3990 John R St, Detroit, MI 48201
Phone: 313-745-8521    
Caroline L Talbert, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3990 John R St, Detroit, MI 48201
Phone: 313-745-7600    Fax: 952-442-3620
Kyle Krupa,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-916-2600    
Lisa Zetuna,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-916-2600    
Kurt Belen, RN
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 10814 Duprey St, Detroit, MI 48224
Phone: 313-410-1988    
Dr. Timothy Turner, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
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).

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