Kevin Lienesch, DNP, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Cottonwood, Idaho. His current practice location is
701 Lewiston St, Cottonwood, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 962-3251.
Kevin Lienesch is licensed to practice in Idaho (license number 59906) 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 1356794721.
Provider's Profile
| Full Name | Kevin Lienesch |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 701 Lewiston St, Cottonwood, Idaho |
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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: 1356794721
- Provider Enumeration Date: 07/20/2016
- Last Update Date: 08/25/2020
Medicare PECOS Information:
- PECOS PAC ID: 9133460702
- Enrollment ID: I20190408002895
Medical Identifiers
Medical identifiers for Kevin Lienesch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1356794721 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 143767 (Montana) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP60678113 (Washington) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 59906 (Idaho) | 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. Kevin Lienesch allows following entities to bill medicare on his behalf.
| Entity Name | Pullman Anesthesia Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023676004
PECOS PAC ID: 8325374150
Enrollment ID: O20190731001913 |
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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. Kevin Lienesch 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 |
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Kevin Lienesch, DNP, CRNA
Po Box 267,
Grangeville, ID 83530-0267
Ph: (206) 321-6509 | Kevin Lienesch, DNP, CRNA
701 Lewiston St,
Cottonwood, ID 83522-9750
Ph: (208) 962-3251 |
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