Mrs Kenzi Wood, - Medicare Nurse Anesthetist, Certified Registered in Sandoval, IL

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Mrs Kenzi Wood, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Sandoval, Illinois. Her current practice location is 5802 Pope Rd, Sandoval, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 367-2673.

Mrs Kenzi Wood is licensed to practice in Illinois (license number 209029161) 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 1710668900.

Contact Information

Mrs Kenzi Wood,
5802 Pope Rd,
Sandoval, IL 62882-2020
(618) 367-2673
Not Available

Map and Direction




Provider's Profile

Full NameMrs Kenzi Wood
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location5802 Pope Rd, Sandoval, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710668900
  • Provider Enumeration Date: 07/31/2023
  • Last Update Date: 04/17/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0941649990
  • Enrollment ID: I20240423003731

Medical Identifiers

Medical identifiers for Mrs Kenzi Wood such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710668900NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 209029161 (Illinois)Primary
163W00000XRegistered Nurse 496097 (Ohio)Secondary

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. Mrs Kenzi Wood allows following entities to bill medicare on her behalf.
Entity NameGood Samaritan Regional Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487758801
PECOS PAC ID: 1658272059
Enrollment ID: O20040119000325
Entity NameSt Marys Hospital Centralia Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770687196
PECOS PAC ID: 6709788920
Enrollment ID: O20040127000118

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. Mrs Kenzi Wood 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
Mrs Kenzi Wood,
5802 Pope Rd,
Sandoval, IL 62882-2020

Ph: () -		Mrs Kenzi Wood,
5802 Pope Rd,
Sandoval, IL 62882-2020

Ph: (618) 367-2673

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Sandoval, IL


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.