Kelsi Ann Ferguson-cannon, CRNA in Coos Bay, OR - Medicare Nurse Anesthetist, Certified Registered

Kelsi Ann Ferguson-cannon, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Coos Bay, Oregon. Her current practice location is 1775 Thompson Rd, Coos Bay, Oregon. You can reach out to her office (for appointments etc.) via phone at (154) 126-9811.

Kelsi Ann Ferguson-cannon is licensed to practice in Utah (license number 147021) 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 1356053524.

Contact Information

	Kelsi Ann Ferguson-cannon, CRNA
	1775 Thompson Rd, Coos Bay, OR 97420-2125
	(154) 126-9811
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelsi Ann Ferguson-cannon
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	1775 Thompson Rd, Coos Bay, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356053524
Provider Enumeration Date: 12/20/2022
Last Update Date: 12/20/2022

Medicare PECOS Information:

PECOS PAC ID: 0547633380
Enrollment ID: I20230227001683

Medical Identifiers

Medical identifiers for Kelsi Ann Ferguson-cannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356053524	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	147021 (Utah)	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. Kelsi Ann Ferguson-cannon allows following entities to bill medicare on her behalf.

Entity Name	Bay Area Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225016561 PECOS PAC ID: 2163331000 Enrollment ID: O20040310000301

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. Kelsi Ann Ferguson-cannon 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
Kelsi Ann Ferguson-cannon, CRNA 179 S 300 W, Logan, UT 84321-5138 Ph: (435) 764-8741	Kelsi Ann Ferguson-cannon, CRNA 1775 Thompson Rd, Coos Bay, OR 97420-2125 Ph: (154) 126-9811

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Coos Bay, OR

Charles E Couture, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1775 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-8020
Mrs. Gayle S Larson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 Fax: 541-266-4501
Matthew S Morris, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151
Jay Alan Bryngelson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151
Mr. Larry C Wheeker, RN, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 Fax: 541-266-4501
Mark B Titcomb, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1775 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-8020

Kelsi Ann Ferguson-cannon, CRNA - Medicare Nurse Anesthetist, Certified Registered in Coos Bay, OR