Dr Kenneth Theriot, MD - Medicare Anesthesiology in Mesa, AZ

Dr Kenneth Theriot, MD is a medicare enrolled "Anesthesiology" physician in Mesa, Arizona. He went to Medical College Of Wisconsin and graduated in 2007 and has 17 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Chandler Anesthesia Consultants Llc and his current practice location is 4002 E Main St Ste 1, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 324-5421.

Dr Kenneth Theriot is licensed to practice in Arizona (license number 44415) 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 1114177664.

Contact Information

Dr Kenneth Theriot, MD
4002 E Main St Ste 1,
Mesa, AZ 85205-8612
(480) 324-5421
(480) 324-5459

Map and Direction




Physician's Profile

Full NameDr Kenneth Theriot
GenderMale
SpecialityAnesthesiology
Experience17 Years
Location4002 E Main St Ste 1, Mesa, Arizona
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:
  • Dr Kenneth Theriot attended and graduated from Medical College Of Wisconsin in 2007
  NPI Data:
  • NPI Number: 1114177664
  • Provider Enumeration Date: 09/21/2008
  • Last Update Date: 03/29/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 2769650738
  • Enrollment ID: I20110718000476

Medical Identifiers

Medical identifiers for Dr Kenneth Theriot such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114177664NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 2008015177 (Missouri)Secondary
207L00000XAnesthesiology 44415 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Chandler Regional Medical CenterChandler, AZHospital
Mercy Gilbert Medical CenterGilbert, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Chandler Anesthesia Consultants Llc064816181058

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. Dr Kenneth Theriot allows following entities to bill medicare on his behalf.
Entity NameChandler Anesthesia Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881632552
PECOS PAC ID: 0648161810
Enrollment ID: O20040324001533
Entity NameAnesthesia Partners Of Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619452901
PECOS PAC ID: 8628317179
Enrollment ID: O20190228001927

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. Dr Kenneth Theriot 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
Dr Kenneth Theriot, MD
18827 E Swan Dr,
Queen Creek, AZ 85142-5314

Ph: (480) 275-8886
Dr Kenneth Theriot, MD
4002 E Main St Ste 1,
Mesa, AZ 85205-8612

Ph: (480) 324-5421

Reviews and Comments


Anesthesiology Doctors in Mesa, AZ

Dr. John G Meernik, M D
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 6247 E. Main Street, Suite 8, Mesa, AZ 85205
Phone: 480-981-9151    Fax: 480-981-0527
Mark Murphy, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1400 S Dobson Rd, Mesa, AZ 85202
Phone: 480-835-3000    
Dr. Mikulkumar D Shah, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 6644 E Baywood Ave, Mesa, AZ 85206
Phone: 480-321-2000    
Timothy E Black, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 1500 S Dobson Road, Suite 203, Mesa, AZ 85202
Phone: 480-844-7100    Fax: 480-512-5486
Joseph M Levine, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1500 S Dobson Rd, Ste 203, Mesa, AZ 85202
Phone: 480-844-7100    Fax: 480-512-5486
Robert Thomas, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1400 S Dobson Rd, Mesa, AZ 85202
Phone: 480-272-8411    Fax: 480-361-1435
Todd G Peterson, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 6247 E. Main Street, Suite 8, Mesa, AZ 85205
Phone: 480-981-9151    Fax: 480-981-0527

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.