Kenneth Lamar Will, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lawrenceburg, Tennessee. His current practice location is
1607 South Locust Avenue, Lawrenceburg, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(615) 620-2320.
Kenneth Lamar Will is licensed to practice in Tennessee (license number APN08946) 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 1417913989.
Provider's Profile
| Full Name | Kenneth Lamar Will |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Anesthetist, Certified Registered |
|---|
| Location | 1607 South Locust Avenue, Lawrenceburg, Tennessee |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1417913989
- Provider Enumeration Date: 04/25/2006
- Last Update Date: 08/05/2010
Medicare PECOS Information:
- PECOS PAC ID: 2961491121
- Enrollment ID: I20040511001632
Medical Identifiers
Medical identifiers for Kenneth Lamar Will such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417913989 | NPI | - | NPPES |
| 406122500 | Medicaid | MD | |
| 01069642 | Other | TN | AMERIGROUP TENNCARE ONLY |
| 3632860 | Medicaid | TN | |
| 4064894 | Other | TN | BLUE CROSS/BLUE SHIELD OF TN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AC000125 (Maryland) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 1-063395 (Alabama) | Secondary |
| 163W00000X | Registered Nurse | RN1-063395 (Alabama) | Secondary |
| 163W00000X | Registered Nurse | RN799782 (Florida) | Secondary |
| 163W00000X | Registered Nurse | RN44231 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APN08946 (Tennessee) | 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. Kenneth Lamar Will allows following entities to bill medicare on his behalf.
| Entity Name | Medstream Anesthesia Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1649616160
PECOS PAC ID: 7416198049
Enrollment ID: O20140314001426 |
|---|
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. Kenneth Lamar Will 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 |
|---|
Kenneth Lamar Will, CRNA
Po Box 440013,
Nashville, TN 37244-0013
Ph: (615) 620-2320 | Kenneth Lamar Will, CRNA
1607 South Locust Avenue,
Lawrenceburg, TN 38464
Ph: (615) 620-2320 |
Reviews and Comments