Kurt Lester Libunao Omadlao, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Chesterfield, Michigan. His current practice location is
47594 Viola Ln, Chesterfield, Michigan. You can reach out to his office (for appointments etc.) via phone at
(586) 883-0584.
Kurt Lester Libunao Omadlao is licensed to practice in Michigan (license number 4704314907) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629898887.
Provider's Profile
| Full Name | Kurt Lester Libunao Omadlao |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 47594 Viola Ln, Chesterfield, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1629898887
- Provider Enumeration Date: 10/14/2024
- Last Update Date: 10/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 4486188315
- Enrollment ID: I20241114000866
Medical Identifiers
Medical identifiers for Kurt Lester Libunao Omadlao such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629898887 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 4704314907 (Michigan) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 4704314907 (Michigan) | 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. Kurt Lester Libunao Omadlao allows following entities to bill medicare on his behalf.
| Entity Name | Northstar Anesthesia Of Michigan Iii Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972126209
PECOS PAC ID: 7911325469
Enrollment ID: O20200915001990 |
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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. Kurt Lester Libunao Omadlao 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 |
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Kurt Lester Libunao Omadlao, CRNA
47594 Viola Ln,
Chesterfield, MI 48047-2407
Ph: (586) 883-0584 | Kurt Lester Libunao Omadlao, CRNA
47594 Viola Ln,
Chesterfield, MI 48047-2407
Ph: (586) 883-0584 |
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