Mrs Kristin Clickett Laster, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Elkin, North Carolina. She graduated from nursing school in 1998 and has 26 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Nurse Anesthesia Of North Carolina Pllc and her current practice location is
180 Parkwood Drive, Hugh Chatham Memorial Hospital, Elkin, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(336) 527-7000.
Mrs Kristin Clickett Laster is licensed to practice in Missouri (license number 2003009222) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1437175650.
Provider's Profile
| Full Name | Mrs Kristin Clickett Laster |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 26 Years |
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| Location | 180 Parkwood Drive, Elkin, North Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Kristin Clickett Laster graduated from nursing school in 1998
NPI Data:
- NPI Number: 1437175650
- Provider Enumeration Date: 07/14/2006
- Last Update Date: 06/24/2021
Medicare PECOS Information:
- PECOS PAC ID: 6204966906
- Enrollment ID: I20110211000650
Medical Identifiers
Medical identifiers for Mrs Kristin Clickett Laster such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437175650 | NPI | - | NPPES |
| 919241109 | Medicaid | MO | |
| $$$$$$$$$ | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 2003009222 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Nurse Anesthesia Of North Carolina Pllc | 7911806195 | 8 |
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. Mrs Kristin Clickett Laster allows following entities to bill medicare on her behalf.
| Entity Name | Nurse Anesthesia Of North Carolina Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689628729
PECOS PAC ID: 7911806195
Enrollment ID: O20040107000364 |
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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. Mrs Kristin Clickett Laster 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 |
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Mrs Kristin Clickett Laster, CRNA
155 Zephyr Mountain Park Rd,
State Road, NC 28676-9021
Ph: (336) 413-6735 | Mrs Kristin Clickett Laster, CRNA
180 Parkwood Drive, Hugh Chatham Memorial Hospital,
Elkin, NC 28621
Ph: (336) 527-7000 |
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