Kipley Verne Anderson, CRNA,BSN,MS,CH is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Hamburg, Iowa. His current practice location is
2959 Hwy 275, Hamburg, Iowa. You can reach out to his office (for appointments etc.) via phone at
(712) 382-1515.
Kipley Verne Anderson is licensed to practice in Iowa (license number D-078742) 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 1487792131.
Provider's Profile
| Full Name | Kipley Verne Anderson |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Anesthetist, Certified Registered |
|---|
| Location | 2959 Hwy 275, Hamburg, Iowa |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1487792131
- Provider Enumeration Date: 02/02/2007
- Last Update Date: 03/09/2017
Medicare PECOS Information:
- PECOS PAC ID: 2567528516
- Enrollment ID: I20090227000197
Medical Identifiers
Medical identifiers for Kipley Verne Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487792131 | NPI | - | NPPES |
| 913640942 | Medicaid | MO | |
| 1487792131 | Medicaid | IA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 078742 (Iowa) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | D-078742 (Iowa) | 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. Kipley Verne Anderson allows following entities to bill medicare on his behalf.
| Entity Name | Community Hospital Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1124112677
PECOS PAC ID: 6103860564
Enrollment ID: O20050616000187 |
|---|
| Entity Name | Community Hospital Inc |
|---|
| Entity Type | Part A Provider - Critical Access Hospital |
|---|
| Entity Identifiers | NPI Number: 1932294071
PECOS PAC ID: 6103860564
Enrollment ID: O20061104000696 |
|---|
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. Kipley Verne Anderson 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 |
|---|
Kipley Verne Anderson, CRNA,BSN,MS,CH
1231 200th St,
Shenandoah, IA 51601-4501
Ph: (712) 246-1774 | Kipley Verne Anderson, CRNA,BSN,MS,CH
2959 Hwy 275,
Hamburg, IA 51640
Ph: (712) 382-1515 |
Reviews and Comments