Kaci Jo Bollinger, CRNA in Fort Lauderdale, FL - Medicare Nurse Anesthetist, Certified Registered

Kaci Jo Bollinger, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Lauderdale, Florida. Her current practice location is 1525 W Cypress Creek Rd, Fort Lauderdale, Florida. You can reach out to her office (for appointments etc.) via phone at (800) 437-2672.

Kaci Jo Bollinger is licensed to practice in Florida (license number 11019663) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396483459.

Contact Information

	Kaci Jo Bollinger, CRNA
	1525 W Cypress Creek Rd, Fort Lauderdale, FL 33309-1831
	(800) 437-2672
	Not Available

Map and Direction

Provider's Profile

Full Name	Kaci Jo Bollinger
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	1525 W Cypress Creek Rd, Fort Lauderdale, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396483459
Provider Enumeration Date: 05/26/2022
Last Update Date: 07/27/2024

Medicare PECOS Information:

PECOS PAC ID: 7113306846
Enrollment ID: I20220627000432

Medical Identifiers

Medical identifiers for Kaci Jo Bollinger such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396483459	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	11019663 (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. Kaci Jo Bollinger allows following entities to bill medicare on her behalf.

Entity Name	Northwood Anesthesia Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801847405 PECOS PAC ID: 8022920255 Enrollment ID: O20031105000191

Entity Name	Sheridan Healthcorp Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355

Entity Name	Greater Florida Anesthesiologists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528630795 PECOS PAC ID: 3173711017 Enrollment ID: O20101220000829

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. Kaci Jo Bollinger 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
Kaci Jo Bollinger, CRNA 11629 Anchor Way, Largo, FL 33778-2508 Ph: (605) 641-6745	Kaci Jo Bollinger, CRNA 1525 W Cypress Creek Rd, Fort Lauderdale, FL 33309-1831 Ph: (800) 437-2672

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fort Lauderdale, FL

Barbara L Kenney, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5757 North Dixie Highway, C/o North Ridge Medical Center, Fort Lauderdale, FL 33334 Phone: 954-776-6000
Kevin Pittman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 South Andrews Ave, Broawrd General Medical Center, Fort Lauderdale, FL 33316 Phone: 954-355-4400
Olga Gay, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1600 S Andrews Ave, Fort Lauderdale, FL 33316 Phone: 954-355-4400
Mr. Louis Mark Labarbera, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3601 W Commercial Blvd, Ste 5, Fort Lauderdale, FL 33309 Phone: 305-485-5666 Fax: 954-484-1651
Curtiss Cherrnay, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 S Andrews Ave, Broward General Medical Center, Fort Lauderdale, FL 33316 Phone: 954-355-4400
Kristen Hasty, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6401 N Federal Hwy, Fort Lauderdale, FL 33308 Phone: 954-776-8500
Mrs. Taice Aeisha Taylor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5000 W Oakland Park, Fort Lauderdale, FL 33313 Phone: 305-445-8461 Fax: 305-441-6879

Kaci Jo Bollinger, CRNA - Medicare Nurse Anesthetist, Certified Registered in Fort Lauderdale, FL