Kevin M Deao, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lamar, Missouri. His current practice location is
29 Nw 1st Ln, Lamar, Missouri. You can reach out to his office (for appointments etc.) via phone at
(417) 681-5100.
Kevin M Deao is licensed to practice in Missouri (license number 2016015976) 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 1891107652.
Provider's Profile
| Full Name | Kevin M Deao |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 29 Nw 1st Ln, Lamar, Missouri |
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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: 1891107652
- Provider Enumeration Date: 05/28/2014
- Last Update Date: 08/20/2019
Medicare PECOS Information:
- PECOS PAC ID: 7810113453
- Enrollment ID: I20161025000135
Medical Identifiers
Medical identifiers for Kevin M Deao such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1891107652 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 114826 (Kansas) | Secondary |
| 163W00000X | Registered Nurse | 2011013251 (Missouri) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 557258 (Kansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 2016015976 (Missouri) | 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 M Deao allows following entities to bill medicare on his behalf.
| Entity Name | Four States Anesthesia Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053382929
PECOS PAC ID: 8729973284
Enrollment ID: O20040216000537 |
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| Entity Name | Cox-monett Hospital, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669687125
PECOS PAC ID: 0345236667
Enrollment ID: O20040521000080 |
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| Entity Name | Cox Barton County Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174166177
PECOS PAC ID: 8820329782
Enrollment ID: O20200116001299 |
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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 M Deao 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 M Deao, CRNA
9100 W 74th St,
Shawnee Mission, KS 66204-4004
Ph: (913) 676-2679 | Kevin M Deao, CRNA
29 Nw 1st Ln,
Lamar, MO 64759
Ph: (417) 681-5100 |
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