Kelly J Fiack, CRNA in Bangor, ME - Medicare Certified Registered Nurse Anesthetist (crna)

Kelly J Fiack, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Bangor, Maine. He graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Anesthesia Partners And Management Llc and his current practice location is 489 State St, Bangor, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 992-4032.

Kelly J Fiack is licensed to practice in Maine (license number RNA133018) 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 1669812111.

Contact Information

	Kelly J Fiack, CRNA
	489 State St, Bangor, ME 04401-6616
	(207) 992-4032
	(207) 992-4034

Map and Direction

Provider's Profile

Full Name	Kelly J Fiack
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	11 Years
Location	489 State St, Bangor, Maine
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:

Kelly J Fiack graduated from nursing school in 2013

NPI Data:

NPI Number: 1669812111
Provider Enumeration Date: 06/28/2013
Last Update Date: 06/28/2013

Medicare PECOS Information:

PECOS PAC ID: 5698918175
Enrollment ID: I20190627002012

Medical Identifiers

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

Identifier	Type	State	Issuer
1669812111	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RNA133018 (Maine)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wickenburg Community Hospital	Wickenburg, AZ	Hospital
Flagstaff Medical Center	Flagstaff, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Anesthesia Partners And Management Llc	9931429198	129

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 J Fiack allows following entities to bill medicare on his behalf.

Entity Name	Anesthesia Partners & Management Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336530997 PECOS PAC ID: 9931429198 Enrollment ID: O20150529000706

Entity Name	Anesthesia Partners Of Arizona Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619452901 PECOS PAC ID: 8628317179 Enrollment ID: O20190228001927

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 J Fiack 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 J Fiack, CRNA 141 N Main St Ste 205, Brewer, ME 04412-2055 Ph: (207) 992-4032	Kelly J Fiack, CRNA 489 State St, Bangor, ME 04401-6616 Ph: (207) 992-4032

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Bangor, ME

Jaime Lee Naughton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-4519 Fax: 207-992-4132
Susan Lind, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-4519 Fax: 207-992-4132
Mrs. Elizabeth R Marshall, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-4519 Fax: 207-992-4132
Jesse Knowlton, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 360 Broadway, Bangor, ME 04401 Phone: 207-907-1430 Fax: 207-907-3508
Mr. Timothy F Gale, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-4519 Fax: 207-992-4132
Patricia L. Kennedy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-4519 Fax: 207-973-4519
Daniel S Groves, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-4519 Fax: 207-992-4132

Kelly J Fiack, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Bangor, ME