Mr Kenneth Primeaux Jr, DNAP in Ephrata, PA - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Kenneth Primeaux Jr, DNAP is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Ephrata, Pennsylvania. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Wellspan Medical Group and his current practice location is 169 Martin Ave, Ephrata, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (717) 738-6618.

Mr Kenneth Primeaux Jr is licensed to practice in Pennsylvania (license number 136841) 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 1841950664.

Contact Information

	Mr Kenneth Primeaux Jr, DNAP
	169 Martin Ave, Ephrata, PA 17522-1724
	(717) 738-6618
	(717) 738-6646

Map and Direction

Provider's Profile

Full Name	Mr Kenneth Primeaux Jr
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	3 Years
Location	169 Martin Ave, Ephrata, Pennsylvania
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:

Mr Kenneth Primeaux Jr graduated from nursing school in 2021

NPI Data:

NPI Number: 1841950664
Provider Enumeration Date: 12/20/2021
Last Update Date: 01/27/2022

Medicare PECOS Information:

PECOS PAC ID: 2264825835
Enrollment ID: I20220202001837

Medical Identifiers

Medical identifiers for Mr Kenneth Primeaux Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841950664	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	136841 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wellspan Ephrata Community Hospital	Ephrata, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wellspan Medical Group	1951213115	1966

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. Mr Kenneth Primeaux Jr allows following entities to bill medicare on his behalf.

Entity Name	Wellspan Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750480299 PECOS PAC ID: 1951213115 Enrollment ID: O20040220000815

Entity Name	Ephrata Community Hospital
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1063559912 PECOS PAC ID: 4981514445 Enrollment ID: O20091231000345

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. Mr Kenneth Primeaux Jr 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
Mr Kenneth Primeaux Jr, DNAP 3421 Concord Rd, York, PA 17402-9001 Ph: (717) 812-7687	Mr Kenneth Primeaux Jr, DNAP 169 Martin Ave, Ephrata, PA 17522-1724 Ph: (717) 738-6618

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Ephrata, PA

Larry Dean Mellott, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-738-6618 Fax: 717-738-6646
Michele Deiterich, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-733-0311 Fax: 717-721-5861
Mr. Jason Michael Dulimba, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-733-0311
Ms. Raquel Vanessa Wiker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-733-0311
Steven C Vandevander, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-733-0311 Fax: 717-721-5861
Mrs. Kathleen Hill, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-733-0311
Larry Cicero, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-733-0311 Fax: 717-733-0876

Mr Kenneth Primeaux Jr, DNAP - Medicare Certified Registered Nurse Anesthetist (crna) in Ephrata, PA