Kyle Rodney Stevens, CRNA in Fort Wayne, IN - Medicare Nurse Anesthetist, Certified Registered

Kyle Rodney Stevens, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Wayne, Indiana. His current practice location is 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 436-7875.

Kyle Rodney Stevens is licensed to practice in Indiana (license number 28232084A) 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 1508594870.

Contact Information

	Kyle Rodney Stevens, CRNA
	10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825-1912
	(260) 436-7875
	Not Available

Map and Direction

Provider's Profile

Full Name	Kyle Rodney Stevens
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508594870
Provider Enumeration Date: 08/12/2022
Last Update Date: 06/24/2024

Medicare PECOS Information:

PECOS PAC ID: 4688043821
Enrollment ID: I20221212000666

Medical Identifiers

Medical identifiers for Kyle Rodney Stevens such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508594870	NPI	-	NPPES
1508594870	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	28232084A (Indiana)	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 Rodney Stevens allows following entities to bill medicare on his behalf.

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: O20040720001562

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 Rodney Stevens 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 Rodney Stevens, CRNA Po Box 843603, Dallas, TX 75284-3603 Ph: (972) 233-1999	Kyle Rodney Stevens, CRNA 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825-1912 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

Kyle Rodney Stevens, CRNA - Medicare Nurse Anesthetist, Certified Registered in Fort Wayne, IN