Kyle James Carlson, DNP, CRNA in Prosser, WA - Medicare Nurse Anesthetist, Certified Registered

Kyle James Carlson, DNP, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Prosser, Washington. His current practice location is 723 Memorial St, Prosser, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 786-2222.

Kyle James Carlson is licensed to practice in Washington (license number 61530135) 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 1275312357.

Contact Information

	Kyle James Carlson, DNP, CRNA
	723 Memorial St, Prosser, WA 99350-1524
	(509) 786-2222
	Not Available

Map and Direction

Provider's Profile

Full Name	Kyle James Carlson
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	723 Memorial St, Prosser, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275312357
Provider Enumeration Date: 09/27/2023
Last Update Date: 09/03/2024

Medicare PECOS Information:

PECOS PAC ID: 2961853015
Enrollment ID: I20240112002559

Medical Identifiers

Medical identifiers for Kyle James Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275312357	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	61530135 (Washington)	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. Kyle James Carlson allows following entities to bill medicare on his behalf.

Entity Name	Panhandle Anesthesia Associates Of Moscow
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720687031 PECOS PAC ID: 1153734736 Enrollment ID: O20201229001997

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. Kyle James Carlson 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
Kyle James Carlson, DNP, CRNA 723 Memorial St, Prosser, WA 99350-1524 Ph: (509) 786-2222	Kyle James Carlson, DNP, CRNA 723 Memorial St, Prosser, WA 99350-1524 Ph: (509) 786-2222

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Prosser, WA

Kevin P Gurney, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 723 Memorial Street, Prosser, WA 99350 Phone: 509-786-2222 Fax: 509-788-6018
Benjamin J Passey, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 723 Memorial St, Prosser, WA 99350 Phone: 801-644-4700
Alan Steen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 723 Memorial St, Prosser, WA 99350 Phone: 509-786-2222 Fax: 509-786-6612
James Paul Fulton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 723 Memorial St, Prosser, WA 99350 Phone: 509-786-2222 Fax: 509-786-6612

Kyle James Carlson, DNP, CRNA - Medicare Nurse Anesthetist, Certified Registered in Prosser, WA