Michelle Lidvall, CRNA in Peoria, IL - Medicare Certified Registered Nurse Anesthetist (crna)

Michelle Lidvall, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Peoria, Illinois. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Methodist Medical Center Of Illinois and her current practice location is 221 Ne Glen Oak Ave, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 672-5522.

Michelle Lidvall is licensed to practice in Illinois (license number 209.011831) 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 1659789410.

Contact Information

	Michelle Lidvall, CRNA
	221 Ne Glen Oak Ave, Peoria, IL 61636-0001
	(309) 672-5522
	Not Available

Map and Direction

Provider's Profile

Full Name	Michelle Lidvall
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	10 Years
Location	221 Ne Glen Oak Ave, Peoria, Illinois
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Michelle Lidvall graduated from nursing school in 2014

NPI Data:

NPI Number: 1659789410
Provider Enumeration Date: 07/24/2014
Last Update Date: 12/29/2014

Medicare PECOS Information:

PECOS PAC ID: 1355666371
Enrollment ID: I20150216001999

Medical Identifiers

Medical identifiers for Michelle Lidvall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659789410	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	041385084 (Illinois)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	209.011831 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Proctor Hospital	Peoria, IL	Hospital
Methodist Medical Center Of Illinois	Peoria, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Methodist Medical Center Of Illinois	1355259714	246

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. Michelle Lidvall allows following entities to bill medicare on her behalf.

Entity Name	Methodist Medical Center Of Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164474755 PECOS PAC ID: 1355259714 Enrollment ID: O20070924000481

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. Michelle Lidvall 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
Michelle Lidvall, CRNA 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 Ph: (309) 672-5522	Michelle Lidvall, CRNA 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 Ph: (309) 672-5522

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Peoria, IL

Melissa Terhark, C.R.N.A Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 8600 North State Route 91, Suite #250, Peoria, IL 61615 Phone: 309-692-5394 Fax: 309-692-2538
Bradley Alan Kirkenir, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 7309 N Knoxville Ave, Peoria, IL 61614 Phone: 217-528-7541
Mathew J Maupin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5401 N. Knoxville Suite 416, Peoria, IL 61528 Phone: 309-692-7246 Fax: 309-692-7226
Sandra M Krahn, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-5522
Adam Randel Osborne, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-5550
Dr. Samantha Mae Aufderhaar, DNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000
Mr. Gary L Boniger, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8600 N State Route 91, Suite 250, Peoria, IL 61615 Phone: 309-692-5393 Fax: 309-692-2538

Michelle Lidvall, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Peoria, IL