Mr Kennett Bruce Murdock, in Boise, ID - Medicare Nurse Anesthetist, Certified Registered

Mr Kennett Bruce Murdock, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Boise, Idaho. His current practice location is 1055 N Curtis Rd, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 367-6416.

Mr Kennett Bruce Murdock is licensed to practice in Idaho (license number 75617) 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 1629772371.

Contact Information

	Mr Kennett Bruce Murdock,
	1055 N Curtis Rd, Boise, ID 83706-1309
	(208) 367-6416
	(208) 367-2742

Map and Direction

Provider's Profile

Full Name	Mr Kennett Bruce Murdock
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	1055 N Curtis Rd, Boise, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629772371
Provider Enumeration Date: 03/28/2023
Last Update Date: 10/25/2023

Medicare PECOS Information:

PECOS PAC ID: 6608232293
Enrollment ID: I20230524002370

Medical Identifiers

Medical identifiers for Mr Kennett Bruce Murdock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629772371	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	75617 (Idaho)	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. Mr Kennett Bruce Murdock allows following entities to bill medicare on his behalf.

Entity Name	St Lukes Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899

Entity Name	St Alphonsus Professional Medical Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386677524 PECOS PAC ID: 7214849751 Enrollment ID: O20040205001184

Entity Name	Mountain View Hospital Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669462362 PECOS PAC ID: 4486562774 Enrollment ID: O20040527001343

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 Kennett Bruce Murdock 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 Kennett Bruce Murdock, Po Box 190930, Boise, ID 83719-0930 Ph: (208) 367-5170	Mr Kennett Bruce Murdock, 1055 N Curtis Rd, Boise, ID 83706-1309 Ph: (208) 367-6416

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Boise, ID

Allison Elisabeth May, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2222
Mr. Douglas Neurath, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 111 W State St, Boise, ID 83702 Phone: 208-336-0895
Jordan B Wolff, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 111 W State St, Boise, ID 83702 Phone: 208-336-0895 Fax: 208-338-1796
Nathan S Call, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2222
Ashton Hope Mieritz, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-2121
Kenneth Clark Stratton Jr., CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-2559
Diana San Juan Shimko, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-6416

Mr Kennett Bruce Murdock, - Medicare Nurse Anesthetist, Certified Registered in Boise, ID