Kimberly A Slattery, CRNA in Fort Wayne, IN - Medicare Certified Registered Nurse Anesthetist (crna)

Kimberly A Slattery, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Wayne, Indiana. She graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Associated Anesthesiologists Of Fort Wayne, Pc, Promedica Central Physicians, Associated Anesthesiologists Of Fort Wayne, Pc and her current practice location is 5734 Coventry Ln, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 436-7875.

Kimberly A Slattery is licensed to practice in Arizona (license number 275603) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1255512687.

Contact Information

	Kimberly A Slattery, CRNA
	5734 Coventry Ln, Fort Wayne, IN 46804-7141
	(260) 436-7875
	(260) 432-9812

Map and Direction

Provider's Profile

Full Name	Kimberly A Slattery
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	17 Years
Location	5734 Coventry Ln, Fort Wayne, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kimberly A Slattery graduated from nursing school in 2007

NPI Data:

NPI Number: 1255512687
Provider Enumeration Date: 11/14/2007
Last Update Date: 06/29/2022

Medicare PECOS Information:

PECOS PAC ID: 6305928037
Enrollment ID: I20080205000047

Medical Identifiers

Medical identifiers for Kimberly A Slattery such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255512687	NPI	-	NPPES
P00477902	Other	OH	MEDICARE RAILROAD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	275603 (Arizona)	Primary
367500000X	Nurse Anesthetist, Certified Registered	4704242032 (Michigan)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Promedica Defiance Regional Hospital	Defiance, OH	Hospital
Community Memorial Hospital	Hicksville, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Associated Anesthesiologists Of Fort Wayne, Pc	2264412444	103
Promedica Central Physicians	2365348190	827
Associated Anesthesiologists Of Fort Wayne, Pc	2264412444	103

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. Kimberly A Slattery allows following entities to bill medicare on her behalf.

Entity Name	Promedica Central Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20031211000226

Entity Name	Associated Anesthesiologists Of Fort Wayne, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538159140 PECOS PAC ID: 2264412444 Enrollment ID: O20140205001238

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. Kimberly A Slattery 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
Kimberly A Slattery, CRNA 442 W High St, Bryan, OH 43506-1681 Ph: (419) 636-4517	Kimberly A Slattery, CRNA 5734 Coventry Ln, Fort Wayne, IN 46804-7141 Ph: (260) 436-7875

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fort Wayne, IN

Anthony Dzigbordi, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5050 N Clinton St, Fort Wayne, IN 46825 Phone: 260-484-8551
Lisa A Tompa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5050 N Clinton St, Fort Wayne, IN 46825 Phone: 260-484-8551 Fax: 260-482-5060
Nicole Borem Schickel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5734 Coventry Ln, Fort Wayne, IN 46804 Phone: 260-436-7875
Blair John Walker, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-416-3000
Madeline Sikes Brooks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825 Phone: 260-436-7875 Fax: 260-432-9812
Dr. Jennifer Hager, DNP, MBA, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825 Phone: 260-436-7875 Fax: 260-432-9812
Lisa Osborne, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5734 Coventry Ln, Fort Wayne, IN 46804 Phone: 260-436-7875

Kimberly A Slattery, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Fort Wayne, IN