Ms Kimberly Ah Sundland, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Hattiesburg, MS

Ms Kimberly Ah Sundland, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Hattiesburg, Mississippi. She graduated from nursing school in 2001 and has 23 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Lifelinc Anesthesia Pllc and her current practice location is 415 S 28th Ave, Hattiesburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 261-3606.

Ms Kimberly Ah Sundland is licensed to practice in Mississippi (license number R813576) 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 1083707814.

Contact Information

Ms Kimberly Ah Sundland, CRNA
415 S 28th Ave,
Hattiesburg, MS 39401-7246
(601) 261-3606
(601) 579-5383



Provider's Profile

Full NameMs Kimberly Ah Sundland
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience23 Years
Location415 S 28th Ave, Hattiesburg, Mississippi
Accepts Medicare AssignmentsYes. 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 Kimberly Ah Sundland graduated from nursing school in 2001
  NPI Data:
  • NPI Number: 1083707814
  • Provider Enumeration Date: 10/02/2006
  • Last Update Date: 03/14/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2264428994
  • Enrollment ID: I20120619000098

Medical Identifiers

Medical identifiers for Ms Kimberly Ah Sundland such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083707814NPI-NPPES
02576323MedicaidMS
8824103OtherMSCIGNA
K142-0002OtherVACARE FIRST 2005
139180OtherVATRIGON
484645OtherVANCPPO
1083707814MedicaidVA
3461546OtherMSUNITED HEALTHCARE
9840251OtherMSAETNA
302I439809OtherMSMEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 3870 (South Carolina)Secondary
367500000XNurse Anesthetist, Certified Registered R813576 (Mississippi)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lifelinc Anesthesia Pllc0941347447144

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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 Kimberly Ah Sundland allows following entities to bill medicare on her behalf.
Entity NameHattiesburg Clinic Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740213446
PECOS PAC ID: 5193706794
Enrollment ID: O20040528000685

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Entity NameLifelinc Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801021464
PECOS PAC ID: 0941347447
Enrollment ID: O20130522000277

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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. Ms Kimberly Ah Sundland 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
Ms Kimberly Ah Sundland, CRNA
1420 S 28th Ave,
Hattiesburg, MS 39402-3107

Ph: (601) 264-3937
Ms Kimberly Ah Sundland, CRNA
415 S 28th Ave,
Hattiesburg, MS 39401-7246

Ph: (601) 261-3606

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Nurse Anesthetist, Certified Registered Nurses in Hattiesburg, MS

Darvin L Sibley, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-261-3606    Fax: 601-579-5166
Jeremy Alan Vance, DNP, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-261-3606    Fax: 601-579-5240
Mr. Corey White,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-261-3606    Fax: 601-579-5383
Daniel Attaway, DNP, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-261-3606    
Brandon Scott Figueiredo, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-261-3606    Fax: 601-579-5383
Scott Evans Walker, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-261-3606    Fax: 601-579-5166

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