Ms Kyle Theresa Mcclintock, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Portland, ME

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Ms Kyle Theresa Mcclintock, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Portland, Maine. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice St Marys Regional Medical Center, Mercy Hospital and her current practice location is 175 Fore River Pkwy, Portland, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 879-3000.

Ms Kyle Theresa Mcclintock is licensed to practice in Connecticut (license number 075000) 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 1053629857.

Contact Information

Ms Kyle Theresa Mcclintock, CRNA
175 Fore River Pkwy,
Portland, ME 04102-2779
(207) 879-3000
Not Available

Map and Direction




Provider's Profile

Full NameMs Kyle Theresa Mcclintock
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience14 Years
Location175 Fore River Pkwy, Portland, Maine
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Kyle Theresa Mcclintock graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1053629857
  • Provider Enumeration Date: 09/15/2010
  • Last Update Date: 02/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7214119254
  • Enrollment ID: I20221107002926

Medical Identifiers

Medical identifiers for Ms Kyle Theresa Mcclintock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053629857NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN83171 (Maine)Secondary
163W00000XRegistered Nurse 075000 (Connecticut)Secondary
367500000XNurse Anesthetist, Certified Registered 004584 (Connecticut)Secondary
367500000XNurse Anesthetist, Certified Registered RNA223051 (Maine)Secondary
367500000XNurse Anesthetist, Certified Registered 075000 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northern Light Mercy HospitalPortland, MEHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Marys Regional Medical Center0042107120186
Mercy Hospital6103737812229

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. Ms Kyle Theresa Mcclintock allows following entities to bill medicare on her behalf.
Entity NameMercy Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629078712
PECOS PAC ID: 6103737812
Enrollment ID: O20040217000943
Entity NameSt Marys Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447226584
PECOS PAC ID: 0042107120
Enrollment ID: O20040303000236
Entity NameMainehealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790265502
PECOS PAC ID: 7517860588
Enrollment ID: O20040701000166
Entity NameVilli P Enders Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124260831
PECOS PAC ID: 7618025701
Enrollment ID: O20090429000303
Entity NameMaine Anesthesia Partners Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265296651
PECOS PAC ID: 5597104596
Enrollment ID: O20240423001902

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. Ms Kyle Theresa Mcclintock 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 AddressPractice Location Address
Ms Kyle Theresa Mcclintock, CRNA
29 Mary Ln,
Cumberland Foreside, ME 04110-1442

Ph: (860) 280-5125		Ms Kyle Theresa Mcclintock, CRNA
175 Fore River Pkwy,
Portland, ME 04102-2779

Ph: (207) 879-3000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Portland, ME

Kayla Lima, CRNA
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Practice Location: 22 Bramhall St, Portland, ME 04102
Phone: 207-662-0111    
Veronica Resendez, CRNA
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Practice Location: 22 Bramhall St, Portland, ME 04102
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Mr. Rex A Huber, CRNA
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Phone: 207-662-2526    Fax: 207-662-6236
Heidi S Alpern, CRNA
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Medicare: Accepting Medicare Assignments
Practice Location: 22 Bramhall St, Department Of Anesthesiology, Portland, ME 04102
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Katherine Mercedes,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 144 State St, Portland, ME 04101
Phone: 207-879-3000    
Ms. Kathryn L Lillie, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 144 State St, Anesthesiology, Portland, ME 04101
Phone: 207-553-6277    
Jessica L Ray, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 22 Bramhall St, Dept Of Anesthesiology, Portland, ME 04102
Phone: 207-662-2526    Fax: 207-662-6236

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.