Loretta Kendricks, CRNA in Gallup, NM - Medicare Nurse Anesthetist, Certified Registered

Loretta Kendricks, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Gallup, New Mexico. Her current practice location is 516 East Nizhoni Blvd., Gallup, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 722-1000.

Loretta Kendricks is licensed to practice in Illinois (license number 209004287) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1245215938.

Contact Information

	Loretta Kendricks, CRNA
	516 East Nizhoni Blvd., Gallup, NM 87301-1337
	(505) 722-1000
	(505) 722-1421

Map and Direction

Provider's Profile

Full Name	Loretta Kendricks
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	516 East Nizhoni Blvd., Gallup, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245215938
Provider Enumeration Date: 12/14/2005
Last Update Date: 01/27/2010

Medicare PECOS Information:

PECOS PAC ID: 0143119909
Enrollment ID: I20040712000040

Medical Identifiers

Medical identifiers for Loretta Kendricks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245215938	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	209004287 (Illinois)	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. Loretta Kendricks allows following entities to bill medicare on her behalf.

Entity Name	Good Samaritan Regional Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487758801 PECOS PAC ID: 1658272059 Enrollment ID: O20040119000325

Entity Name	St Marys Hospital Centralia Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770687196 PECOS PAC ID: 6709788920 Enrollment ID: O20040127000118

Entity Name	Blessing Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255515342 PECOS PAC ID: 3072422534 Enrollment ID: O20040330001155

Entity Name	North American Partners In Anesthesia Illinois Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699032524 PECOS PAC ID: 1052576519 Enrollment ID: O20120706000534

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. Loretta Kendricks 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
Loretta Kendricks, CRNA P.o. Box 1337, Gallup, NM 87305-1337 Ph: (505) 722-1000	Loretta Kendricks, CRNA 516 East Nizhoni Blvd., Gallup, NM 87301-1337 Ph: (505) 722-1000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Gallup, NM

Iris R Kovach, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1421
Mayra Rael, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000
Mr. Manuel Dejesus Zarate Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-506-6076
Michael Lee Robinson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1421
Ms. Katrina Lucille Pinczes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1901 Red Rock Dr, Gallup, NM 87301 Phone: 330-603-5716
Shane Parks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000

Loretta Kendricks, CRNA - Medicare Nurse Anesthetist, Certified Registered in Gallup, NM