Kallie Chapman Beretta, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Phenix City, AL

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Kallie Chapman Beretta, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Phenix City, Alabama. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Umass Memorial Medical Group Inc, Carson Tahoe Physician Hospital Organization, Llc and her current practice location is 4401 Riverchase Dr, Phenix City, Alabama. You can reach out to her office (for appointments etc.) via phone at (334) 732-3000.

Kallie Chapman Beretta is licensed to practice in Alabama (license number 1-149837) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1306465935.

Contact Information

Kallie Chapman Beretta, CRNA
4401 Riverchase Dr,
Phenix City, AL 36867-7483
(334) 732-3000
Not Available

Map and Direction




Provider's Profile

Full NameKallie Chapman Beretta
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience4 Years
Location4401 Riverchase Dr, Phenix City, Alabama
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kallie Chapman Beretta graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1306465935
  • Provider Enumeration Date: 04/14/2020
  • Last Update Date: 05/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9335563204
  • Enrollment ID: I20200724000658

Medical Identifiers

Medical identifiers for Kallie Chapman Beretta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306465935NPI-NPPES
110164311AMedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 8423336 (Nevada)Secondary
367500000XNurse Anesthetist, Certified Registered 26463 (South Carolina)Secondary
367500000XNurse Anesthetist, Certified Registered RN2339414 (Massachusetts)Secondary
367500000XNurse Anesthetist, Certified Registered APRN-195940 (Montana)Secondary
367500000XNurse Anesthetist, Certified Registered 1-149837 (Alabama)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Umass Memorial Medical Center/university CampusWorcester, MAHospital
Carson Tahoe Regional Medical CenterCarson city, NVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Umass Memorial Medical Group Inc42845398911898
Carson Tahoe Physician Hospital Organization, Llc862846572131

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. Kallie Chapman Beretta allows following entities to bill medicare on her behalf.
Entity NameUmass Memorial Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760445373
PECOS PAC ID: 4284539891
Enrollment ID: O20040113000267
Entity NameSpringfield Anesthesia Service Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093768830
PECOS PAC ID: 0345228011
Enrollment ID: O20040709000365

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. Kallie Chapman Beretta 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
Kallie Chapman Beretta, CRNA
224 Jasmine Hill Rd,
Indian Springs, AL 35124-3328

Ph: (334) 202-5596		Kallie Chapman Beretta, CRNA
4401 Riverchase Dr,
Phenix City, AL 36867-7483

Ph: (334) 732-3000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Phenix City, AL

Mr. Andrew Hornsby, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4401 River Chase Dr, Phenix City, AL 36867
Phone: 334-732-3969    Fax: 334-732-3646
Janice L Pfotenhauer, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2401 St Andrews Way, Phenix City, Phenix City, AL 36867
Phone: 334-448-8179    
Elizabeth Newton, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 4402 Riverchase Dr Apt 4010, Phenix City, AL 36867
Phone: 229-338-2197    
Kaleb Andrew Burgess, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4401 Riverchase Dr, Phenix City, AL 36867
Phone: 334-732-3000    

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.