Kendra Knaga, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in De Soto, Illinois. Her current practice location is
85 Brookside, De Soto, Illinois. You can reach out to her office (for appointments etc.) via phone at
(630) 649-0542.
Kendra Knaga is licensed to practice in Illinois (license number 209030595) 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 1891479960.
Provider's Profile
| Full Name | Kendra Knaga |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 85 Brookside, De Soto, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1891479960
- Provider Enumeration Date: 06/09/2023
- Last Update Date: 11/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 6507392800
- Enrollment ID: I20241210003698
Medical Identifiers
Medical identifiers for Kendra Knaga such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891479960 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | 041356464 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209030595 (Illinois) | 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. Kendra Knaga allows following entities to bill medicare on her behalf.
| Entity Name | Northstar Anesthesia Of Illinois, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962822395
PECOS PAC ID: 4688893878
Enrollment ID: O20140922000405 |
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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. Kendra Knaga 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 |
|---|
Kendra Knaga,
1 Hairpin Drive,
Edwardsville, IL 62026-0001
Ph: (618) 650-5688 | Kendra Knaga,
85 Brookside,
De Soto, IL 62924-3900
Ph: (630) 649-0542 |
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