Kenneth Wilson Backstrand, MD in Cape Coral, FL

Kenneth Wilson Backstrand, MD is a medicare enrolled "Anesthesiology - Pain Medicine" physician in Cape Coral, Florida. His current practice location is 2721 Del Prado Blvd S, Cape Coral, Florida. You can reach out to his office (for appointments etc.) via phone at (239) 242-8010.

Kenneth Wilson Backstrand is licensed to practice in Florida (license number ME50622) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114915477.

Contact Information

	Kenneth Wilson Backstrand, MD
	2721 Del Prado Blvd S, Cape Coral, FL 33904-5781
	(239) 242-8010
	(239) 242-8020

Map and Direction

Physician's Profile

Full Name	Kenneth Wilson Backstrand
Gender	Male
Speciality	Anesthesiology - Pain Medicine
Location	2721 Del Prado Blvd S, Cape Coral, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114915477
Provider Enumeration Date: 10/11/2005
Last Update Date: 03/08/2018

Medicare PECOS Information:

PECOS PAC ID: 0042282824
Enrollment ID: I20110615000714

Medical Identifiers

Medical identifiers for Kenneth Wilson Backstrand such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114915477	NPI	-	NPPES
046206300	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	ME0050622 (Florida)	Secondary
207LP2900X	Anesthesiology - Pain Medicine	ME50622 (Florida)	Primary

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. Kenneth Wilson Backstrand allows following entities to bill medicare on his behalf.

Entity Name	Moonlight Anesthesia, P.l.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033419791 PECOS PAC ID: 0547442758 Enrollment ID: O20110309000707

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. Kenneth Wilson Backstrand 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
Kenneth Wilson Backstrand, MD 40 Barkley Cir Ste 3, Fort Myers, FL 33907-4518 Ph: (239) 226-0910	Kenneth Wilson Backstrand, MD 2721 Del Prado Blvd S, Cape Coral, FL 33904-5781 Ph: (239) 242-8010

Reviews and Comments

Anesthesiology Doctors in Cape Coral, FL

Dr. John T Patrick, MD, ANESTESIOLOGIST Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4120 Del Prado Blvd S, Cape Coral, FL 33904 Phone: 239-542-2020 Fax: 239-541-1492
Dr. Jules Alva Preudhomme, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1228 Se 8th Ter, Cape Coral, FL 33990 Phone: 239-945-1105 Fax: 239-945-4495
Remone Tharwat Yousif, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 650 Del Prado Blvd S Ste 106, Cape Coral, FL 33990 Phone: 239-424-3492 Fax: 239-424-4030

Kenneth Wilson Backstrand, MD - Medicare Anesthesiology in Cape Coral, FL