Grant David Kephart, CRNA in Stockton, CA - Medicare Certified Registered Nurse Anesthetist (crna)

Grant David Kephart, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Stockton, California. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Anesthesia Services Of San Joaquin Pc and his current practice location is St. Joseph's Medical Center, 1800 N. California St., Stockton, California. You can reach out to his office (for appointments etc.) via phone at (209) 943-2000.

Grant David Kephart is licensed to practice in California (license number NA95001045) 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 1043773070.

Contact Information

	Grant David Kephart, CRNA
	St. Joseph's Medical Center, 1800 N. California St., Stockton, CA 95204
	(209) 943-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Grant David Kephart
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	6 Years
Location	St. Joseph's Medical Center, Stockton, California
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:

Grant David Kephart graduated from nursing school in 2018

NPI Data:

NPI Number: 1043773070
Provider Enumeration Date: 04/08/2019
Last Update Date: 04/08/2019

Medicare PECOS Information:

PECOS PAC ID: 3779816780
Enrollment ID: I20190606001342

Medical Identifiers

Medical identifiers for Grant David Kephart such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043773070	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	NA95001045 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Joseph's Medical Center Of Stockton	Stockton, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Anesthesia Services Of San Joaquin Pc	4082754056	69

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. Grant David Kephart allows following entities to bill medicare on his behalf.

Entity Name	Regents Of The Univ Of Ca
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013906973 PECOS PAC ID: 3375456619 Enrollment ID: O20031111000892

Entity Name	Anesthesia Services Of San Joaquin Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366778227 PECOS PAC ID: 4082754056 Enrollment ID: O20091223000174

Entity Name	First Choice Anesthesia Consultants Of Northern California Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568749570 PECOS PAC ID: 8628231537 Enrollment ID: O20120511000306

Entity Name	Uap Sacramento, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245644863 PECOS PAC ID: 2860612330 Enrollment ID: O20141003002026

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. Grant David Kephart 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
Grant David Kephart, CRNA 1148 8th Ave, Sacramento, CA 95818-4003 Ph: (530) 864-8882	Grant David Kephart, CRNA St. Joseph's Medical Center, 1800 N. California St., Stockton, CA 95204 Ph: (209) 943-2000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Stockton, CA

Dr. Dorothy Wanjeru Mbondo, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-662-4749
Khang Do, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-416-6316
Marjorie M Danis, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1805 N California St, Suite 101a, Stockton, CA 95204 Phone: 209-948-5515 Fax: 209-948-9321
Charles Melvin Banks Iii, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-943-2000
Navjot Sanghera, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-943-2000
Carla S Rosenblum, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-467-6556

Grant David Kephart, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Stockton, CA