Mr Randall Bryant Kleppe, CRNA in Jackson, MI - Medicare Nurse Anesthetist, Certified Registered

Mr Randall Bryant Kleppe, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jackson, Michigan. His current practice location is 205 N East Ave, Jackson, Michigan. You can reach out to his office (for appointments etc.) via phone at (517) 788-4963.

Mr Randall Bryant Kleppe is licensed to practice in Michigan (license number 4704148008) 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 1679680813.

Contact Information

	Mr Randall Bryant Kleppe, CRNA
	205 N East Ave, Jackson, MI 49201-1753
	(517) 788-4963
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Randall Bryant Kleppe
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	205 N East Ave, Jackson, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679680813
Provider Enumeration Date: 08/24/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1951482660
Enrollment ID: I20080121000035

Medical Identifiers

Medical identifiers for Mr Randall Bryant Kleppe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679680813	NPI	-	NPPES
036402	Other		CRNA/AANA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	4704148008 (Michigan)	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 Randall Bryant Kleppe allows following entities to bill medicare on his behalf.

Entity Name	W.a. Foote Memorial Hospital, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598776718 PECOS PAC ID: 0244136067 Enrollment ID: O20031215000624

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 Randall Bryant Kleppe 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 Randall Bryant Kleppe, CRNA 5321 Browns Lake Rd, Jackson, MI 49203-5602 Ph: () -	Mr Randall Bryant Kleppe, CRNA 205 N East Ave, Jackson, MI 49201-1753 Ph: (517) 788-4963

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Jackson, MI

Joshua Booth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-205-4800
Mr. Steven John Dickerson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6700 S Jackson Rd, Jackson, MI 49201 Phone: 517-789-5481 Fax: 517-782-7926
Mr. Michael Paul Haas, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-788-4963
Rocco Mascioli, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 744 W Michigan Ave, Jackson, MI 49201 Phone: 517-787-6440 Fax: 517-787-4146
Meredith Meston, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-788-4963
Kara E. Bono, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 255 W Michigan Ave, Jackson, MI 49201 Phone: 800-516-5315 Fax: 517-787-7365
Gavin Nathan Baker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 255 W Michigan Ave, Jackson, MI 49201 Phone: 800-516-5315 Fax: 517-787-7365

Mr Randall Bryant Kleppe, CRNA - Medicare Nurse Anesthetist, Certified Registered in Jackson, MI