Kyle Michael Anderson, CRNA in Green Bay, WI - Medicare Certified Registered Nurse Anesthetist (crna)

Kyle Michael Anderson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Green Bay, Wisconsin. He graduated from nursing school in 2022 and has 2 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Gundersen Lutheran Medical Center Inc and his current practice location is 744 S Webster Ave, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 495-4001.

Kyle Michael Anderson is licensed to practice in Wisconsin (license number 162603) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1205580313.

Contact Information

	Kyle Michael Anderson, CRNA
	744 S Webster Ave, Green Bay, WI 54301-3505
	(715) 495-4001
	Not Available

Map and Direction

Provider's Profile

Full Name	Kyle Michael Anderson
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	2 Years
Location	744 S Webster Ave, Green Bay, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kyle Michael Anderson graduated from nursing school in 2022

NPI Data:

NPI Number: 1205580313
Provider Enumeration Date: 02/08/2022
Last Update Date: 08/07/2024

Medicare PECOS Information:

PECOS PAC ID: 1052706082
Enrollment ID: I20240113000671

Medical Identifiers

Medical identifiers for Kyle Michael Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205580313	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	848576 (Nevada)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	162603 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Gundersen Lutheran Medical Center	La crosse, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Gundersen Lutheran Medical Center Inc	2163331414	789

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 Michael Anderson allows following entities to bill medicare on his behalf.

Entity Name	Gundersen Lutheran Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376593442 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254

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 Michael 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
Kyle Michael Anderson, CRNA Po Box 840857, Dallas, TX 75284-0857 Ph: (725) 204-4632	Kyle Michael Anderson, CRNA 744 S Webster Ave, Green Bay, WI 54301-3505 Ph: (715) 495-4001

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Green Bay, WI

Mr. Peter B Michon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54308 Phone: 920-288-3388 Fax: 920-288-3370
Angela L Mathias, SRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-3388 Fax: 920-288-3370
Julie A Podlasik, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-445-7226 Fax: 920-445-7289
Jeremy J Jerdee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-3388 Fax: 920-288-3370
Christine M Zasuly, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-3388 Fax: 920-288-3370
Joseph A Wenszell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3605 Fax: 920-433-3589
Barbara A. Eland, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-433-0111 Fax: 920-431-3071

Kyle Michael Anderson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Green Bay, WI