Kyle T Griffith, in Saint Louis, MO - Medicare Nurse Anesthetist, Certified Registered

Kyle T Griffith, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Saint Louis, Missouri. His current practice location is 10010 Kennerly Rd, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (636) 386-7222.

Kyle T Griffith is licensed to practice in Missouri (license number 075254) 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 1740260108.

Contact Information

	Kyle T Griffith,
	10010 Kennerly Rd, Saint Louis, MO 63128-2106
	(636) 386-7222
	(636) 386-7810

Map and Direction

Provider's Profile

Full Name	Kyle T Griffith
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	10010 Kennerly Rd, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740260108
Provider Enumeration Date: 01/20/2006
Last Update Date: 10/07/2015

Medicare PECOS Information:

PECOS PAC ID: 6507872355
Enrollment ID: I20090604000473

Medical Identifiers

Medical identifiers for Kyle T Griffith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740260108	NPI	-	NPPES
910186709	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	2001015666 (Missouri)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	075254 (Missouri)	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 T Griffith allows following entities to bill medicare on his behalf.

Entity Name	St. Josephs Hospital Of The Hospital Sisters Of The Third Order Of St
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447352323 PECOS PAC ID: 4183617517 Enrollment ID: O20040403000043

Entity Name	Ambulatory Surgery Center Of Centralia, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265495824 PECOS PAC ID: 1254343007 Enrollment ID: O20060620000082

Entity Name	G & G Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487020111 PECOS PAC ID: 4981912607 Enrollment ID: O20150930000831

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 T Griffith 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 T Griffith, 7416 Creek Ridge Ln, Edwardsville, IL 62025-7047 Ph: (314) 504-5140	Kyle T Griffith, 10010 Kennerly Rd, Saint Louis, MO 63128-2106 Ph: (636) 386-7222

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Saint Louis, MO

Ms. Mary Katherine Kinworthy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12634 Olive Blvd, Dept Anesthesiology, Saint Louis, MO 63141 Phone: 800-862-9980 Fax: 314-362-1185
Ms. Kelsey Elise Fogus, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185
Ms. Claira J Sousa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185
Claire Aubuchon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 129 N Ballas Rd, Saint Louis, MO 63122 Phone: 314-996-5330 Fax: 314-810-1399
Mr. Aaron M Weinzettel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185
Ms. Tracy Lanes, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 Phone: 314-362-6973 Fax: 314-362-1185
Mr. Michael Mccamley, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 12634 Olive Blvd, Saint Louis, MO 63141 Phone: 314-996-8685 Fax: 314-996-8479

Kyle T Griffith, - Medicare Nurse Anesthetist, Certified Registered in Saint Louis, MO