John M Ricketts, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Kennett, MO

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John M Ricketts, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Kennett, Missouri. He graduated from nursing school in 1976 and has 48 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Pemiscot County Memorial Hospital and his current practice location is 1231 1st St, Kennett, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 888-4522.

John M Ricketts is licensed to practice in Missouri (license number 060608) 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 1053520874.

Contact Information

John M Ricketts, CRNA
1231 1st St,
Kennett, MO 63857-2527
(573) 888-4522
Not Available

Map and Direction




Provider's Profile

Full NameJohn M Ricketts
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience48 Years
Location1231 1st St, Kennett, Missouri
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:
  • John M Ricketts graduated from nursing school in 1976
  NPI Data:
  • NPI Number: 1053520874
  • Provider Enumeration Date: 05/21/2007
  • Last Update Date: 08/06/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 4385604180
  • Enrollment ID: I20041015000627

Medical Identifiers

Medical identifiers for John M Ricketts such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053520874NPI-NPPES
145737701MedicaidAR
1053520874MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 060608 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Pemiscot County Memorial HospitalHayti, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pemiscot County Memorial Hospital842602415923

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. John M Ricketts allows following entities to bill medicare on his behalf.
Entity NamePemiscot County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437251881
PECOS PAC ID: 8426024159
Enrollment ID: O20051005000137
Entity NamePemiscot County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578668661
PECOS PAC ID: 8426024159
Enrollment ID: O20070326000204

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. John M Ricketts 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
John M Ricketts, CRNA
209 S Main St,
Poplar Bluff, MO 63901-5831

Ph: (573) 686-5550		John M Ricketts, CRNA
1231 1st St,
Kennett, MO 63857-2527

Ph: (573) 888-4522

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Kennett, MO

Mark W Clark, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1201 First St, Kennett, MO 63857
Phone: 573-888-4522    
Mallory Elizabeth Stith, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1301 1st St, Kennett, MO 63857
Phone: 573-718-4038    
Justin Smith, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1301 1st St, Kennett, MO 63857
Phone: 573-686-5550    

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.