Philip Kodsy, - Medicare Certified Registered Nurse Anesthetist (crna) in Detroit, MI

Philip Kodsy, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Detroit, Michigan. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Hurley Medical Center, Ascension St John Hospital and his current practice location is 22101 Moross Rd, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 343-4000.

Philip Kodsy is licensed to practice in Michigan (license number 4704307415) 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 1477030575.

Contact Information

Philip Kodsy,
22101 Moross Rd,
Detroit, MI 48236
(313) 343-4000
Not Available

Map and Direction




Provider's Profile

Full NamePhilip Kodsy
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience6 Years
Location22101 Moross Rd, Detroit, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Philip Kodsy graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1477030575
  • Provider Enumeration Date: 07/23/2018
  • Last Update Date: 09/04/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0941552004
  • Enrollment ID: I20181017003711

Medical Identifiers

Medical identifiers for Philip Kodsy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477030575NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 4704307415 (Michigan)Secondary
367500000XNurse Anesthetist, Certified Registered 4704307415 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension St John HospitalDetroit, MIHospital
Hurley Medical CenterFlint, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hurley Medical Center2961308481262
Ascension St John Hospital3173424082279

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. Philip Kodsy allows following entities to bill medicare on his behalf.
Entity NameAscension St John Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598896995
PECOS PAC ID: 3173424082
Enrollment ID: O20040130000407
Entity NameHurley Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558397653
PECOS PAC ID: 2961308481
Enrollment ID: O20040511000504
Entity NameSurgical Centers Of Michigan Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1962463133
PECOS PAC ID: 1355393364
Enrollment ID: O20050218000062
Entity NameSouthfield Rehabilitation Company
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790785095
PECOS PAC ID: 6709872617
Enrollment ID: O20060414000038
Entity NameMacomb Endoscopy Center Plc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1780923128
PECOS PAC ID: 1850536012
Enrollment ID: O20130319000064
Entity NameAsa Staffing Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114378981
PECOS PAC ID: 3971898644
Enrollment ID: O20160818002713
Entity NameParagon Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356940670
PECOS PAC ID: 4789096942
Enrollment ID: O20201210003133

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. Philip Kodsy 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
Philip Kodsy,
55226 Nile Way,
Macomb, MI 48042-6194

Ph: (586) 883-4949
Philip Kodsy,
22101 Moross Rd,
Detroit, MI 48236

Ph: (313) 343-4000

Reviews and Comments


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Kimberly Dawn Harris, CRNA
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Dr. Timothy Turner, CRNA
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Ms. Laura Lynn Rivera, CRNA
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Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-916-2600    

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.