Ms Teresa K Fatum, CRNA in Grand Rapids, MI - Medicare Certified Registered Nurse Anesthetist (crna)

Ms Teresa K Fatum, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Grand Rapids, Michigan. She graduated from nursing school in 1992 and has 32 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice West Michigan Anesthesia Pc and her current practice location is 3333 Evergreen Dr Ne, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 364-4200.

Ms Teresa K Fatum is licensed to practice in Michigan (license number 4704170665) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1255444931.

Contact Information

	Ms Teresa K Fatum, CRNA
	3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9756
	(616) 364-4200
	(616) 364-7347

Map and Direction

Provider's Profile

Full Name	Ms Teresa K Fatum
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	32 Years
Location	3333 Evergreen Dr Ne, Grand Rapids, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Teresa K Fatum graduated from nursing school in 1992

NPI Data:

NPI Number: 1255444931
Provider Enumeration Date: 08/16/2006
Last Update Date: 07/03/2014

Medicare PECOS Information:

PECOS PAC ID: 6103005889
Enrollment ID: I20110127000064

Medical Identifiers

Medical identifiers for Ms Teresa K Fatum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255444931	NPI	-	NPPES
4299281	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	4704170665 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Health Hackley Campus	Muskegon, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
West Michigan Anesthesia Pc	1355243551	190

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. Ms Teresa K Fatum allows following entities to bill medicare on her behalf.

Entity Name	Capital Area Anesthesia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538105010 PECOS PAC ID: 8628975968 Enrollment ID: O20031216000210

Entity Name	West Michigan Anesthesia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225016926 PECOS PAC ID: 1355243551 Enrollment ID: O20040127000018

Entity Name	Anesthesia Medical Consultants, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063710689 PECOS PAC ID: 3678751658 Enrollment ID: O20110621000722

Entity Name	American Anesthesiology Group Of Michigan Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245708403 PECOS PAC ID: 7416296041 Enrollment ID: O20190226003245

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. Ms Teresa K Fatum 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
Ms Teresa K Fatum, CRNA 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9756 Ph: (616) 364-4200	Ms Teresa K Fatum, CRNA 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9756 Ph: (616) 364-4200

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Grand Rapids, MI

Anne Marie Talbot, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 616-685-6063 Fax: 616-685-3092
Mrs. Lindsay E Mckelvey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3333 Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-364-4200 Fax: 616-364-7347
Ms. Majerle Bunce, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3333 Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-364-4200 Fax: 616-364-7347
Mrs. Heather M Montgomery-kanitz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3333 Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-364-4200 Fax: 616-364-7347
Courtney Kolanowski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 616-685-5000
Mr. Patrick James Evans, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3333 Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-364-4200 Fax: 616-364-7347
Mr. Brent Zukoff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-1774

Ms Teresa K Fatum, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Grand Rapids, MI