Stanley Ansel Kristiansen, CRNA in Berwyn, IL - Medicare Certified Registered Nurse Anesthetist (crna)

Stanley Ansel Kristiansen, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Berwyn, Illinois. He graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Gottlieb Community Health Services Corporation, 360 Anesthesia Pllc and his current practice location is 3249 Oak Park Ave, Berwyn, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 783-3013.

Stanley Ansel Kristiansen is licensed to practice in Illinois (license number 209027161) 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 1205984366.

Contact Information

	Stanley Ansel Kristiansen, CRNA
	3249 Oak Park Ave, Berwyn, IL 60402-3429
	(708) 783-3013
	Not Available

Map and Direction

Provider's Profile

Full Name	Stanley Ansel Kristiansen
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	18 Years
Location	3249 Oak Park Ave, Berwyn, Illinois
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:

Stanley Ansel Kristiansen graduated from nursing school in 2006

NPI Data:

NPI Number: 1205984366
Provider Enumeration Date: 01/08/2007
Last Update Date: 05/10/2023

Medicare PECOS Information:

PECOS PAC ID: 6608972088
Enrollment ID: I20230512001631

Medical Identifiers

Medical identifiers for Stanley Ansel Kristiansen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205984366	NPI	-	NPPES
237042323	Other	IN	COMMERCIAL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	3006664 (Kentucky)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	209027161 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
West Suburban Medical Center	Oak park, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Gottlieb Community Health Services Corporation	3375442999	34
360 Anesthesia Pllc	5991184863	114

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. Stanley Ansel Kristiansen allows following entities to bill medicare on his behalf.

Entity Name	Gottlieb Community Health Services Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013415603 PECOS PAC ID: 3375442999 Enrollment ID: O20180420000980

Entity Name	Loyola Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376041954 PECOS PAC ID: 6305109547 Enrollment ID: O20180420002063

Entity Name	Encore Anesthesia Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558987883 PECOS PAC ID: 3476979683 Enrollment ID: O20200819000850

Entity Name	360 Anesthesia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811637366 PECOS PAC ID: 5991184863 Enrollment ID: O20230322000939

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. Stanley Ansel Kristiansen 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
Stanley Ansel Kristiansen, CRNA Po Box 38, Corydon, IN 47112-0038 Ph: (812) 738-4251	Stanley Ansel Kristiansen, CRNA 3249 Oak Park Ave, Berwyn, IL 60402-3429 Ph: (708) 783-3013

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Berwyn, IL

Telma Karerakattil, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-785-3545
Jessica Hubl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 773-818-1132
Tita J Jacildo, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3249 Oak Park Ave, Anesthesia Department, Berwyn, IL 60402 Phone: 708-783-3667
Elma Divinagracia, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3249 Oak Park Ave, Anesthesia Department, Berwyn, IL 60402 Phone: 708-783-3667
Yoojung Kang, MSN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-2226
Michelle Akan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-9100

Stanley Ansel Kristiansen, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Berwyn, IL