Mr Kenneth Andrew Willard, CRNA - Medicare Nurse Anesthetist, Certified Registered in Lansing, MI

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Mr Kenneth Andrew Willard, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lansing, Michigan. His current practice location is 1215 E Michigan Ave, Lansing, Michigan. You can reach out to his office (for appointments etc.) via phone at (517) 364-3350.

Mr Kenneth Andrew Willard is licensed to practice in Michigan (license number 4704225787) 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 1972839306.

Contact Information

Mr Kenneth Andrew Willard, CRNA
1215 E Michigan Ave,
Lansing, MI 48912-1811
(517) 364-3350
(517) 364-3943

Map and Direction




Provider's Profile

Full NameMr Kenneth Andrew Willard
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location1215 E Michigan Ave, Lansing, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972839306
  • Provider Enumeration Date: 10/20/2009
  • Last Update Date: 10/20/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 8123166154
  • Enrollment ID: I20091112000321

Medical Identifiers

Medical identifiers for Mr Kenneth Andrew Willard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972839306NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 4704225787 (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. Mr Kenneth Andrew Willard allows following entities to bill medicare on his behalf.
Entity NameMclaren Flint
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346373339
PECOS PAC ID: 8628975497
Enrollment ID: O20031218000620
Entity NameNorthwestern Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215106679
PECOS PAC ID: 4486723657
Enrollment ID: O20080514000823
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 NameAsa Staffing Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114378981
PECOS PAC ID: 3971898644
Enrollment ID: O20160818002713

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. Mr Kenneth Andrew Willard 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
Mr Kenneth Andrew Willard, CRNA
Po Box 13008,
Lansing, MI 48901-3008

Ph: (517) 364-3350		Mr Kenneth Andrew Willard, CRNA
1215 E Michigan Ave,
Lansing, MI 48912-1811

Ph: (517) 364-3350

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Lansing, MI

Katharine Gabany,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2712 Greenbriar Ave, Lansing, MI 48912
Phone: 517-599-5367    
Mr. Andrew Sidney Cooper, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1215 E Michigan Ave, Lansing, MI 48912
Phone: 517-364-2789    Fax: 517-364-3943
Nancy J Buchanan,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 401 W Greenlawn Ave, Lansing, MI 48910
Phone: 517-377-8225    
Ms. Kari Lyn Forro, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1215 E Michigan Ave, Lansing, MI 48912
Phone: 517-364-2789    Fax: 517-364-3943
Jodie Elizabth Emerson,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 401 W Greenlawn Ave, Lansing, MI 48910
Phone: 517-377-8225    Fax: 517-367-5006
Mrs. Laureen Elizabeth Hahn, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2900 Collins Rd, Lansing, MI 48910
Phone: 517-975-6000    
Jessica Jarvis, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1215 E Michigan Ave, Lansing, MI 48912
Phone: 517-364-3351    

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.