Mr Kevin Burgess, CRNA in Portland, OR - Medicare Nurse Anesthetist, Certified Registered

Mr Kevin Burgess, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Portland, Oregon. His current practice location is 3181 Sw Sam Jackson Park Rd, Mail Code Uhs-2, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 418-5019.

Mr Kevin Burgess is licensed to practice in Oregon (license number 201407790CRNA) 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 1760494694.

Contact Information

	Mr Kevin Burgess, CRNA
	3181 Sw Sam Jackson Park Rd, Mail Code Uhs-2, Portland, OR 97239-3011
	(503) 418-5019
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Kevin Burgess
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	3181 Sw Sam Jackson Park Rd, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760494694
Provider Enumeration Date: 08/12/2006
Last Update Date: 05/11/2016

Medicare PECOS Information:

PECOS PAC ID: 8628033651
Enrollment ID: I20041201000359

Medical Identifiers

Medical identifiers for Mr Kevin Burgess such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760494694	NPI	-	NPPES
176494694	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	176907 (Massachusetts)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	053057-23-11 (New Hampshire)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	201407790CRNA (Oregon)	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 Kevin Burgess allows following entities to bill medicare on his behalf.

Entity Name	Southcoast Physicians Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336137629 PECOS PAC ID: 0749171957 Enrollment ID: O20040920000138

Entity Name	North American Partners In Anesthesia Massachusetts Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457867020 PECOS PAC ID: 8820350713 Enrollment ID: O20180312001704

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 Kevin Burgess 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 Kevin Burgess, CRNA 3181 Sw Sam Jackson Park Rd, Mail Code Uhs-2, Portland, OR 97239-3011 Ph: (503) 418-5019	Mr Kevin Burgess, CRNA 3181 Sw Sam Jackson Park Rd, Mail Code Uhs-2, Portland, OR 97239-3011 Ph: (503) 418-5019

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Portland, OR

Mr. Daniel Paul Addy, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-1234
Ms. Bonnie Helen O'hara, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Providence St. Vincent Medical Center, 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-3321
Amber Fromwiller, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8311
Ms. Gwendolyn M Keyt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Mailcode Uhs-2, Portland, OR 97239 Phone: 503-494-7641 Fax: 503-418-0884
Daniel Hainley, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7641 Fax: 503-494-4661
Dr. Dallas D. Regan, CRNA, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7641
Stephen John Yermal, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1111 Ne 99th Ave, Suite 302, Portland, OR 97220 Phone: 503-963-2763

Mr Kevin Burgess, CRNA - Medicare Nurse Anesthetist, Certified Registered in Portland, OR