Kelly Knollmann, CRNA in Rogers, AR - Medicare Nurse Anesthetist, Certified Registered

Kelly Knollmann, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Rogers, Arkansas. Her current practice location is 2710 Rife Medical Ln, Rogers, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 338-8000.

Kelly Knollmann is licensed to practice in Arkansas (license number C01545) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1982635116.

Contact Information

	Kelly Knollmann, CRNA
	2710 Rife Medical Ln, Rogers, AR 72758-1452
	(479) 338-8000
	(913) 381-0979

Map and Direction

Provider's Profile

Full Name	Kelly Knollmann
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	2710 Rife Medical Ln, Rogers, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982635116
Provider Enumeration Date: 07/05/2006
Last Update Date: 06/09/2017

Medicare PECOS Information:

PECOS PAC ID: 8921015835
Enrollment ID: I20060413000282

Medical Identifiers

Medical identifiers for Kelly Knollmann such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982635116	NPI	-	NPPES
5Y795	Other	AR	BCBS OF ARKANSAS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	C01545 (Arkansas)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	C01545 (Arkansas)	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. Kelly Knollmann allows following entities to bill medicare on her behalf.

Entity Name	Western Arkansas Anesthesiology Associates P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548202294 PECOS PAC ID: 0648179291 Enrollment ID: O20040102000767

Entity Name	Western Arkansas Obstetric Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952671703 PECOS PAC ID: 2365609328 Enrollment ID: O20120202000076

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. Kelly Knollmann 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
Kelly Knollmann, CRNA Po Box 291264, Nashville, TN 37229-1264 Ph: (913) 642-4900	Kelly Knollmann, CRNA 2710 Rife Medical Ln, Rogers, AR 72758-1452 Ph: (479) 338-8000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Rogers, AR

Steven Derek Ceola, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2710 Rife Medical Ln, Rogers, AR 72758 Phone: 913-381-5200 Fax: 913-381-0979
Matthew W Shelby, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2710 Rife Medical Ln, Anesthesia Dept, Rogers, AR 72758 Phone: 913-642-4900 Fax: 913-381-0979
Chad Silvey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2710 S Rife Medical Ln, Rogers, AR 72758 Phone: 479-338-8000 Fax: 479-338-3056
Sean P Mccarthy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 W Walnut St, Rogers, AR 72756 Phone: 479-636-0200 Fax: 479-936-2912
Ms. Allison Elizabeth Lee Mckay, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2710 Rife Medical Ln, Rogers, AR 72758 Phone: 913-642-4900 Fax: 913-381-0979
Monte Clayton Moore, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2710 Rife Medical Ln, Rogers, AR 72758 Phone: 913-381-5200 Fax: 913-381-0979
Matthew David Hicks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 W Walnut St, Rogers, AR 72756 Phone: 479-636-0200 Fax: 479-936-2912

Kelly Knollmann, CRNA - Medicare Nurse Anesthetist, Certified Registered in Rogers, AR