Mr Kevin Lee Gatlin, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Geismar, Louisiana. His current practice location is
12393 Old Millstone Dr, Geismar, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(225) 673-1736.
Mr Kevin Lee Gatlin is licensed to practice in Louisiana (license number 96106) 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 1083605372.
Provider's Profile
Full Name | Mr Kevin Lee Gatlin |
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Gender | Male |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 12393 Old Millstone Dr, Geismar, Louisiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1083605372
- Provider Enumeration Date: 11/04/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3971552811
- Enrollment ID: I20050118000433
Medical Identifiers
Medical identifiers for Mr Kevin Lee Gatlin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083605372 | NPI | - | NPPES |
1467341 | Medicaid | LA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 96106 (Louisiana) | 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 Lee Gatlin allows following entities to bill medicare on his behalf.
Entity Name | Anesthesiology Affiliates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376878884 PECOS PAC ID: 6800936162 Enrollment ID: O20091216000602 |
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Entity Name | Zephyr Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891087458 PECOS PAC ID: 1658559125 Enrollment ID: O20110705000180 |
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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 Lee Gatlin 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 Lee Gatlin, CRNA 12393 Old Millstone Dr, Geismar, LA 70734-3238 Ph: (225) 673-1736 | Mr Kevin Lee Gatlin, CRNA 12393 Old Millstone Dr, Geismar, LA 70734-3238 Ph: (225) 673-1736 |
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