Keith Maxwell Bull, CRNA in Farmington, NM - Medicare Certified Registered Nurse Anesthetist (crna)

Keith Maxwell Bull, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Farmington, New Mexico. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Four Corners Anesthesia, P.a. and his current practice location is 2300 E 30th St, Building A, Farmington, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 326-6400.

Keith Maxwell Bull is licensed to practice in Nebraska (license number 101335) 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 1851751432.

Contact Information

	Keith Maxwell Bull, CRNA
	2300 E 30th St, Building A, Farmington, NM 87401-8990
	(505) 326-6400
	Not Available

Map and Direction

Provider's Profile

Full Name	Keith Maxwell Bull
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	9 Years
Location	2300 E 30th St, Farmington, New Mexico
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Keith Maxwell Bull graduated from nursing school in 2015

NPI Data:

NPI Number: 1851751432
Provider Enumeration Date: 02/25/2016
Last Update Date: 04/27/2017

Medicare PECOS Information:

PECOS PAC ID: 9739470188
Enrollment ID: I20160615001965

Medical Identifiers

Medical identifiers for Keith Maxwell Bull such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851751432	NPI	-	NPPES
140943	Medicaid	AZ
55278710	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	101335 (Nebraska)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Four Corners Anesthesia, P.a.	6608762950	7

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 Maxwell Bull allows following entities to bill medicare on his behalf.

Entity Name	Four Corners Anesthesia, P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093758831 PECOS PAC ID: 6608762950 Enrollment ID: O20040224001194

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 Maxwell Bull 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
Keith Maxwell Bull, CRNA 1515 E 20th St, Suite A, Farmington, NM 87401-9039 Ph: (505) 326-6400	Keith Maxwell Bull, CRNA 2300 E 30th St, Building A, Farmington, NM 87401-8990 Ph: (505) 326-6400

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Farmington, NM

Christopher Gary Reitmeier, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 Fax: 505-609-2259
Barbara S Kamps, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 950 W Pinon, Farmington, NM 87401 Phone: 505-427-1794 Fax: 505-327-5355
Daniel Herring, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000
Tyler Marshall, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-6648 Fax: 505-609-2259
Laura Chase, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000
Adam Russell Penrose, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000
James L Thurston, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-419-4365

Keith Maxwell Bull, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Farmington, NM