Mr Stephen R Parker, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mattawan, Michigan. He went to Michigan State University College Of Osteopathic Medicine and graduated in 2022 and has 2 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Coachella Valley Anesthesia A Professional Corporation, Landmark Anesthesia Medical Group Prime and his current practice location is
43219 Mitchell Ave, Mattawan, Michigan. You can reach out to his office (for appointments etc.) via phone at
(616) 821-4759.
Mr Stephen R Parker is licensed to practice in Michigan (license number 4704242328) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629282074.
Provider's Profile
Full Name | Mr Stephen R Parker |
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Gender | Male |
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Speciality | Certified Registered Nurse Anesthetist (crna) |
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Experience | 2 Years |
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Location | 43219 Mitchell Ave, Mattawan, Michigan |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Stephen R Parker attended and graduated from Michigan State University College Of Osteopathic Medicine in 2022
NPI Data:
- NPI Number: 1629282074
- Provider Enumeration Date: 05/09/2007
- Last Update Date: 03/04/2019
Medicare PECOS Information:
- PECOS PAC ID: 9739272501
- Enrollment ID: I20221130001450
Medical Identifiers
Medical identifiers for Mr Stephen R Parker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629282074 | NPI | - | NPPES |
5185383 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 4704242328 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Coachella Valley Anesthesia A Professional Corporation | 5698131969 | 77 |
Landmark Anesthesia Medical Group Prime | 5890122683 | 7 |
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 Stephen R Parker allows following entities to bill medicare on his behalf.
Entity Name | Landmark Anesthesia Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770035024 PECOS PAC ID: 5698055804 Enrollment ID: O20161206000144 |
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Entity Name | Coachella Valley Anesthesia A Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013662048 PECOS PAC ID: 5698131969 Enrollment ID: O20230512000330 |
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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. Mr Stephen R Parker 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 |
Mr Stephen R Parker, CRNA 900 Peeler St, Kalamazoo, MI 49008-2380 Ph: (269) 345-8618 | Mr Stephen R Parker, CRNA 43219 Mitchell Ave, Mattawan, MI 49071-8919 Ph: (616) 821-4759 |
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