Mr Kyle Connaghan, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Elysburg, Pennsylvania. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Evangelical Medical Services Organization and his current practice location is
134 Pocahontas Ln, Elysburg, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 259-3070.
Mr Kyle Connaghan is licensed to practice in Virginia (license number 0024173607) 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 1740635952.
Provider's Profile
Full Name | Mr Kyle Connaghan |
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Gender | Male |
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Speciality | Certified Registered Nurse Anesthetist (crna) |
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Experience | 8 Years |
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Location | 134 Pocahontas Ln, Elysburg, Pennsylvania |
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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 Kyle Connaghan graduated from nursing school in 2016
NPI Data:
- NPI Number: 1740635952
- Provider Enumeration Date: 04/26/2016
- Last Update Date: 06/13/2016
Medicare PECOS Information:
- PECOS PAC ID: 3274828215
- Enrollment ID: I20210216001888
Medical Identifiers
Medical identifiers for Mr Kyle Connaghan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740635952 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 0024173607 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Evangelical Medical Services Organization | 9133033087 | 244 |
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 Kyle Connaghan allows following entities to bill medicare on his behalf.
Entity Name | Evangelical Medical Services Organization |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1295834984 PECOS PAC ID: 9133033087 Enrollment ID: O20040310000212 |
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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 Kyle Connaghan 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 Kyle Connaghan, 134 Pocahontas Ln, Elysburg, PA 17824-9431 Ph: () - | Mr Kyle Connaghan, 134 Pocahontas Ln, Elysburg, PA 17824-9431 Ph: (570) 259-3070 |
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