Kaleb Smith, DNP, CRNA - Medicare Nurse Anesthetist, Certified Registered in Grenada, MS

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Kaleb Smith, DNP, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Grenada, Mississippi. His current practice location is 960 Avent Dr, Grenada, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 227-7000.

Kaleb Smith is licensed to practice in Mississippi (license number 917382) 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 1154103901.

Contact Information

Kaleb Smith, DNP, CRNA
960 Avent Dr,
Grenada, MS 38901-5230
(662) 227-7000
Not Available

Map and Direction




Provider's Profile

Full NameKaleb Smith
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location960 Avent Dr, Grenada, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154103901
  • Provider Enumeration Date: 10/17/2023
  • Last Update Date: 10/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5890145023
  • Enrollment ID: I20231229000789

Medical Identifiers

Medical identifiers for Kaleb Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154103901NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 917382 (Mississippi)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. Kaleb Smith allows following entities to bill medicare on his behalf.
Entity NameWillow Anesthesia Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205169521
PECOS PAC ID: 9234279183
Enrollment ID: O20091228000308

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. Kaleb Smith 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
Kaleb Smith, DNP, CRNA
2704 W Oxford Loop,
Oxford, MS 38655-5723

Ph: (662) 550-4299		Kaleb Smith, DNP, CRNA
960 Avent Dr,
Grenada, MS 38901-5230

Ph: (662) 227-7000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Grenada, MS

Robert Keith Dubard, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 960 Avent Dr, Grenada, MS 38901
Phone: 662-227-7000    Fax: 662-227-7572

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.