Kelton Crest Merrill, in Sun City, AZ - Medicare Nurse Anesthetist, Certified Registered

Kelton Crest Merrill, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Sun City, Arizona. His current practice location is 10401 W Thunderbird Blvd, Sun City, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 832-4000.

Kelton Crest Merrill is licensed to practice in Arizona (license number 298194) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1043098494.

Contact Information

	Kelton Crest Merrill,
	10401 W Thunderbird Blvd, Sun City, AZ 85351-3004
	(623) 832-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelton Crest Merrill
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	10401 W Thunderbird Blvd, Sun City, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043098494
Provider Enumeration Date: 09/18/2023
Last Update Date: 12/22/2023

Medicare PECOS Information:

PECOS PAC ID: 3971958729
Enrollment ID: I20231013001180

Medical Identifiers

Medical identifiers for Kelton Crest Merrill such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043098494	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN208298 (Arizona)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	298194 (Arizona)	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. Kelton Crest Merrill allows following entities to bill medicare on his behalf.

Entity Name	Greater Anesthesia Solutions
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124430244 PECOS PAC ID: 9234357906 Enrollment ID: O20140822000525

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. Kelton Crest Merrill 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
Kelton Crest Merrill, 18853 N 59th Dr, Glendale, AZ 85308-7604 Ph: (928) 245-5056	Kelton Crest Merrill, 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 Ph: (623) 832-4000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Sun City, AZ

Deanna Kay Villalino, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10401 W Thunderbird Blvd, Sun City, AZ 85351 Phone: 623-832-4000
Susan Marie Hawes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10401 W Thunderbird Blvd, Anesthesiology, Sun City, AZ 85351 Phone: 623-977-7211 Fax: 623-876-5697
Susan Lassiter, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 10401 W Thunderbird Blvd, Sun City, AZ 85351 Phone: 623-977-7211 Fax: 623-876-5697
Ms. Maureen B Riley, CRNA, BSN, MAE Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 10701 W Bell Rd, Sun City, AZ 85351 Phone: 602-525-4977
Jay Rawlings, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10401 W Thunderbird Blvd, Sun City, AZ 85351 Phone: 623-832-4000
Mr. Gary Eddie Vesely, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10541 W Thunderbird Blvd, Sun City, AZ 85351 Phone: 865-777-0909 Fax: 865-777-0910
Ryker Sorenson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 10401 W Thunderbird Blvd, Sun City, AZ 85351 Phone: 623-832-4000

Kelton Crest Merrill, - Medicare Nurse Anesthetist, Certified Registered in Sun City, AZ