Kristell Marie Wade, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Enterprise, Oregon. She graduated from nursing school in 1999 and has 26 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Grande Ronde Hospital Inc and her current practice location is
604 Medical Parkway, Enterprise, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 426-5306.
Kristell Marie Wade is licensed to practice in Oregon (license number ) 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 1871503748.
Provider's Profile
Full Name | Kristell Marie Wade |
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Gender | Female |
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Speciality | Certified Registered Nurse Anesthetist (crna) |
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Experience | 26 Years |
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Location | 604 Medical Parkway, Enterprise, Oregon |
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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:
- Kristell Marie Wade graduated from nursing school in 1999
NPI Data:
- NPI Number: 1871503748
- Provider Enumeration Date: 08/09/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8123119146
- Enrollment ID: I20191008001438
Medical Identifiers
Medical identifiers for Kristell Marie Wade such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871503748 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | (Oregon) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | (Oregon) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Grande Ronde Hospital Inc | 0547170789 | 69 |
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. Kristell Marie Wade allows following entities to bill medicare on her behalf.
Entity Name | Grande Ronde Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1467446195 PECOS PAC ID: 0547170789 Enrollment ID: O20031124000758 |
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Entity Name | Northwest Medical Foundation Of Tillamook |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871575225 PECOS PAC ID: 5092619569 Enrollment ID: O20031208000676 |
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Entity Name | Grande Ronde Hospital Inc |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1467446195 PECOS PAC ID: 0547170789 Enrollment ID: O20061104000155 |
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Entity Name | Wallowa County Health Care District |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1558366229 PECOS PAC ID: 4183537566 Enrollment ID: O20061104000217 |
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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. Kristell Marie Wade 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 |
Kristell Marie Wade, CRNA 79360 Wade Gulch Lane, Lostine, OR 97857 Ph: (541) 263-1465 | Kristell Marie Wade, CRNA 604 Medical Parkway, Enterprise, OR 97828 Ph: (541) 426-5306 |
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