Randall Kinietz, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Grove City, Ohio. His current practice location is
5300 N Meadows Dr, Grove City, Ohio. You can reach out to his office (for appointments etc.) via phone at
(614) 663-5000.
Randall Kinietz is licensed to practice in Ohio (license number APRN.CRNA.0021059) 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 1700639457.
Provider's Profile
| Full Name | Randall Kinietz |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 5300 N Meadows Dr, Grove City, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1700639457
- Provider Enumeration Date: 04/10/2024
- Last Update Date: 07/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 7214469907
- Enrollment ID: I20241018003126
Medical Identifiers
Medical identifiers for Randall Kinietz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1700639457 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | APRN.CRNA.0021059 (Ohio) | 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. Randall Kinietz allows following entities to bill medicare on his behalf.
| Entity Name | Premier Anesthesia Of Ohio Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699196022
PECOS PAC ID: 3779714258
Enrollment ID: O20140326001267 |
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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. Randall Kinietz 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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Randall Kinietz,
2010 Reilly Run Unit L,
Grove City, OH 43123-9013
Ph: (740) 919-9234 | Randall Kinietz,
5300 N Meadows Dr,
Grove City, OH 43123-2546
Ph: (614) 663-5000 |
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