Leanne Grace Vangilder, RN in Detroit, MI - Medicare Nurse Anesthetist, Certified Registered

Leanne Grace Vangilder, RN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Detroit, Michigan. Her current practice location is 2799 W Grand Blvd, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 874-6256.

Leanne Grace Vangilder is licensed to practice in Michigan (license number 4704326425) 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 1174194203.

Contact Information

	Leanne Grace Vangilder, RN
	2799 W Grand Blvd, Detroit, MI 48202-2608
	(313) 874-6256
	Not Available

Map and Direction

Provider's Profile

Full Name	Leanne Grace Vangilder
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	2799 W Grand Blvd, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174194203
Provider Enumeration Date: 07/09/2021
Last Update Date: 09/12/2023

Medicare PECOS Information:

PECOS PAC ID: 3375907868
Enrollment ID: I20230918000843

Medical Identifiers

Medical identifiers for Leanne Grace Vangilder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174194203	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	4704326425 (Michigan)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	4704326425 (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. Leanne Grace Vangilder 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. Leanne Grace Vangilder 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
Leanne Grace Vangilder, RN 1 Ford Pl Ste 3a, Detroit, MI 48202-3450 Ph: () -	Leanne Grace Vangilder, RN 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: (313) 874-6256

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

Leanne Grace Vangilder, RN - Medicare Nurse Anesthetist, Certified Registered in Detroit, MI