David Lee Kallas, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Renner, South Dakota. He graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Pipestone County Medical Center, Avera Marshall and his current practice location is
47316 Rogness Pl, Renner, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 310-6735.
David Lee Kallas is licensed to practice in South Dakota (license number CR000784) 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 1902166911.
Provider's Profile
| Full Name | David Lee Kallas |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 12 Years |
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| Location | 47316 Rogness Pl, Renner, South Dakota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- David Lee Kallas graduated from nursing school in 2012
NPI Data:
- NPI Number: 1902166911
- Provider Enumeration Date: 05/23/2012
- Last Update Date: 05/23/2012
Medicare PECOS Information:
- PECOS PAC ID: 2961667969
- Enrollment ID: I20130717000897
Medical Identifiers
Medical identifiers for David Lee Kallas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1902166911 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | CR000784 (South Dakota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Pipestone County Medical Center | 0840109682 | 17 |
| Avera Marshall | 5799695227 | 78 |
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. David Lee Kallas allows following entities to bill medicare on his behalf.
| Entity Name | Pipestone County Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447300587
PECOS PAC ID: 0840109682
Enrollment ID: O20031105000578 |
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| Entity Name | Avera Marshall |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568401016
PECOS PAC ID: 5799695227
Enrollment ID: O20031106000219 |
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| Entity Name | Sanford Health Network |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699869875
PECOS PAC ID: 6800707100
Enrollment ID: O20040715001116 |
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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. David Lee Kallas 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 |
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David Lee Kallas, CRNA
47316 Rogness Pl,
Renner, SD 57055-6526
Ph: (605) 310-6735 | David Lee Kallas, CRNA
47316 Rogness Pl,
Renner, SD 57055-6526
Ph: (605) 310-6735 |
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