Mr Kristopher A Black, CRNA in Pueblo, CO - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Kristopher A Black, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Pueblo, Colorado. He graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Wyoming Perioperative Anesthesia Consultants Llc and his current practice location is 1008 Minnequa Ave, Or/anesthesiology, Pueblo, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 557-3824.

Mr Kristopher A Black is licensed to practice in Colorado (license number 121197) 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 1124265590.

Contact Information

	Mr Kristopher A Black, CRNA
	1008 Minnequa Ave, Or/anesthesiology, Pueblo, CO 81004-3733
	(719) 557-3824
	(719) 557-3834

Map and Direction

Provider's Profile

Full Name	Mr Kristopher A Black
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	16 Years
Location	1008 Minnequa Ave, Pueblo, Colorado
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 Kristopher A Black graduated from nursing school in 2008

NPI Data:

NPI Number: 1124265590
Provider Enumeration Date: 01/07/2009
Last Update Date: 07/08/2021

Medicare PECOS Information:

PECOS PAC ID: 6901962901
Enrollment ID: I20210804002948

Medical Identifiers

Medical identifiers for Mr Kristopher A Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124265590	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	47932 (Wyoming)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	121197 (Colorado)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Cody Regional Health	Cody, WY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wyoming Perioperative Anesthesia Consultants Llc	0840433132	7

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 Kristopher A Black allows following entities to bill medicare on his behalf.

Entity Name	Campbell County Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710098868 PECOS PAC ID: 2860392529 Enrollment ID: O20040206000510

Entity Name	Wyoming Perioperative Anesthesia Consultants Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508119439 PECOS PAC ID: 0840433132 Enrollment ID: O20130905000971

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 Kristopher A Black 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 Kristopher A Black, CRNA Po Box 1155, Attn Aqreva, Billings, MT 59103-1155 Ph: (719) 557-3824	Mr Kristopher A Black, CRNA 1008 Minnequa Ave, Or/anesthesiology, Pueblo, CO 81004-3733 Ph: (719) 557-3824

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Pueblo, CO

Lara Kjurston Knowles, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 W 16th St, Pueblo, CO 81003 Phone: 719-584-4000
Malena Calle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 W 16th St, Pueblo, CO 81003 Phone: 719-584-7305
Michael R. Herron, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1008 Minnequa Ave, Pueblo, CO 81004 Phone: 719-560-5717
Elizabeth Dias Morphis, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 W 16th St, Pueblo, CO 81003 Phone: 719-584-4000
Mr. James Guzan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 112 W D St, Suite 210a, Pueblo, CO 81003 Phone: 330-442-3547
Timothy Floyd, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 400 W 16th St, Pueblo, CO 81003 Phone: 719-584-4000

Mr Kristopher A Black, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Pueblo, CO