Keith Lundquist, APRN is a medicare enrolled "Anesthesiologist Assistant" in Manchester, New Hampshire. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Amoskeag Anesthesia Pllc and his current practice location is
1 Elliot Way Ste 200, Manchester, New Hampshire. You can reach out to his office (for appointments etc.) via phone at
(603) 663-2315.
Keith Lundquist is licensed to practice in New Hampshire (license number 063034-23) 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 1407253842.
Provider's Profile
| Full Name | Keith Lundquist |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 10 Years |
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| Location | 1 Elliot Way Ste 200, Manchester, New Hampshire |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Keith Lundquist graduated from nursing school in 2014
NPI Data:
- NPI Number: 1407253842
- Provider Enumeration Date: 12/01/2014
- Last Update Date: 12/01/2014
Medicare PECOS Information:
- PECOS PAC ID: 3870819865
- Enrollment ID: I20150310002277
Medical Identifiers
Medical identifiers for Keith Lundquist such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1407253842 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367H00000X | Anesthesiologist Assistant | 063034-23 (New Hampshire) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Amoskeag Anesthesia Pllc | 1759375983 | 90 |
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. Keith Lundquist allows following entities to bill medicare on his behalf.
| Entity Name | Amoskeag Anesthesia Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104883511
PECOS PAC ID: 1759375983
Enrollment ID: O20040513001385 |
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| Entity Name | The New London Hospital Association Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831200583
PECOS PAC ID: 5294643623
Enrollment ID: O20040713000500 |
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| Entity Name | Collaborative Anesthesia Partners |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023522455
PECOS PAC ID: 9133482532
Enrollment ID: O20191011001659 |
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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. Keith Lundquist 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 |
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Keith Lundquist, APRN
1 Elliot Way Ste 200,
Manchester, NH 03103-3502
Ph: (603) 663-2315 | Keith Lundquist, APRN
1 Elliot Way Ste 200,
Manchester, NH 03103-3502
Ph: (603) 663-2315 |
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