Keith Rackley, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Champions Gate, Florida. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Emergenchealth Pllc and his current practice location is
8390 Champions Gate Blvd Ste 215, Champions Gate, Florida. You can reach out to his office (for appointments etc.) via phone at
(407) 390-1677.
Keith Rackley is licensed to practice in Florida (license number ARNP9360027) 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 1942759428.
Provider's Profile
| Full Name | Keith Rackley |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 8 Years |
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| Location | 8390 Champions Gate Blvd Ste 215, Champions Gate, Florida |
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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 Rackley graduated from nursing school in 2016
NPI Data:
- NPI Number: 1942759428
- Provider Enumeration Date: 09/26/2016
- Last Update Date: 09/26/2016
Medicare PECOS Information:
- PECOS PAC ID: 4981983038
- Enrollment ID: I20201014001748
Medical Identifiers
Medical identifiers for Keith Rackley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1942759428 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | ARNP9360027 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Emergenchealth Pllc | 1355606641 | 540 |
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 Rackley allows following entities to bill medicare on his behalf.
| Entity Name | Emergenchealth Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467970897
PECOS PAC ID: 1355606641
Enrollment ID: O20180608000439 |
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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 Rackley 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 Rackley, CRNA
8390 Champions Gate Blvd Ste 215,
Champions Gate, FL 33896-8310
Ph: (407) 390-1677 | Keith Rackley, CRNA
8390 Champions Gate Blvd Ste 215,
Champions Gate, FL 33896-8310
Ph: (407) 390-1677 |
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