Kenneth Vickers Jr, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Waco, TX

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Kenneth Vickers Jr, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Waco, Texas. He graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Northstar Anesthesia Iii Pa, Northstar Anesthesia Pa and his current practice location is 100 Hillcrest Medical Blvd, Waco, Texas. You can reach out to his office (for appointments etc.) via phone at (254) 230-1509.

Kenneth Vickers Jr is licensed to practice in Texas (license number 703452) 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 1023387230.

Contact Information

Kenneth Vickers Jr, CRNA
100 Hillcrest Medical Blvd,
Waco, TX 76712-8897
(254) 230-1509
Not Available

Map and Direction




Provider's Profile

Full NameKenneth Vickers Jr
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience13 Years
Location100 Hillcrest Medical Blvd, Waco, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kenneth Vickers Jr graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1023387230
  • Provider Enumeration Date: 12/16/2011
  • Last Update Date: 12/16/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 8820250541
  • Enrollment ID: I20120425000570

Medical Identifiers

Medical identifiers for Kenneth Vickers Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023387230NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 703452 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baylor Scott & White All Saints Medical Center Fort WorthFort worth, TXHospital
Baylor Scott & White Heart & Vascular Hospital - DallasDallas, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northstar Anesthesia Iii Pa0042630501338
Northstar Anesthesia Pa7315907128265

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 Vickers Jr allows following entities to bill medicare on his behalf.
Entity NameAnesthesiology Consultants Of North Texas Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699712596
PECOS PAC ID: 3870483001
Enrollment ID: O20040319000247
Entity NamePinnacle Anesthesia Consultants, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457342297
PECOS PAC ID: 7416850896
Enrollment ID: O20040330000217
Entity NameNorthstar Anesthesia Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912978610
PECOS PAC ID: 7315907128
Enrollment ID: O20041015000685
Entity NameMiller-franklin Limited Liability Partnership
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821253907
PECOS PAC ID: 0749338861
Enrollment ID: O20090429000557
Entity NameBrazos Gi Anesthesia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073806360
PECOS PAC ID: 7113197161
Enrollment ID: O20110830000318
Entity NameEndo Sedation Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588931174
PECOS PAC ID: 4789845363
Enrollment ID: O20120406000221
Entity NameNorthstar Anesthesia Ii Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477066405
PECOS PAC ID: 2365701737
Enrollment ID: O20180110000102
Entity NameNtx Anesthesiology Consultants Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912410739
PECOS PAC ID: 7416203773
Enrollment ID: O20180629000441
Entity NameSound Physicians Anesthesiology Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295356277
PECOS PAC ID: 1254751407
Enrollment ID: O20201009000612
Entity NameNorthstar Anesthesia Iii Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356968952
PECOS PAC ID: 0042630501
Enrollment ID: O20201022000080

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 Vickers Jr 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 AddressPractice Location Address
Kenneth Vickers Jr, CRNA
100 Hillcrest Medical Blvd,
Waco, TX 76712-8897

Ph: (254) 230-1509		Kenneth Vickers Jr, CRNA
100 Hillcrest Medical Blvd,
Waco, TX 76712-8897

Ph: (254) 230-1509

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Waco, TX

James Furr Iii,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712
Phone: 254-202-2000    
Blanche Kimberly Schilt, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 364 Richland West Circle, Suite B, Waco, TX 76712
Phone: 254-230-1109    
Noel Albert Woods, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 6901 Medical Pkwy, Waco, TX 76712
Phone: 254-751-4146    Fax: 254-751-4283
Mr. David Norman, CRNA, DNP
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 100 Hillcrest Medical Blvd, Hillcrest Baptist Medical Center, Waco, TX 76712
Phone: 254-202-9409    
Kathleen Ann Dawson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712
Phone: 254-202-2000    
Noelle Appel,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712
Phone: 254-202-2000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.