Sean Campbell Kirk, in Colton, CA - Medicare Nurse Anesthetist, Certified Registered

Sean Campbell Kirk, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Colton, California. His current practice location is 400 N Pepper Ave, Colton, California. You can reach out to his office (for appointments etc.) via phone at (877) 873-2762.

Sean Campbell Kirk is licensed to practice in California (license number 95071128) 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 1659146314.

Contact Information

	Sean Campbell Kirk,
	400 N Pepper Ave, Colton, CA 92324-1801
	(877) 873-2762
	Not Available

Map and Direction

Provider's Profile

Full Name	Sean Campbell Kirk
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	400 N Pepper Ave, Colton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659146314
Provider Enumeration Date: 11/21/2023
Last Update Date: 11/21/2023

Medicare PECOS Information:

PECOS PAC ID: 4284076712
Enrollment ID: I20240529001948

Medical Identifiers

Medical identifiers for Sean Campbell Kirk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659146314	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	95071128 (California)	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. Sean Campbell Kirk allows following entities to bill medicare on his behalf.

Entity Name	Coachella Valley Anesthesia A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013662048 PECOS PAC ID: 5698131969 Enrollment ID: O20230512000330

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. Sean Campbell Kirk 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
Sean Campbell Kirk, 26330 Long St, Loma Linda, CA 92354-6565 Ph: (707) 299-8910	Sean Campbell Kirk, 400 N Pepper Ave, Colton, CA 92324-1801 Ph: (877) 873-2762

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Colton, CA

Mr. Richard William Reis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 North Pepper Avenue 2nd Floor, Anesthesia Dept., Inland Empire Anesthesia Medical Group, Inc., Colton, CA 92324 Phone: 909-580-2440 Fax: 909-580-2441
Elizabeth Karenina Manullang, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 877-873-2762
Ivan Stiger, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-2440
Mr. Michael T Reid, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 E Washington St, Ste. 100, Colton, CA 92324 Phone: 909-370-2190
Daniel Hioe, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-2440
Mr. Dale Arthur Reile, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave Fl 2, Inland Empire Anesthesia Medical Group, Inc., Colton, CA 92324 Phone: 909-580-2440 Fax: 909-580-2441
Cheryl Sisler Carr, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Anesthesia Dept, 2nd Floor, Colton, CA 92324 Phone: 909-580-2440

Sean Campbell Kirk, - Medicare Nurse Anesthetist, Certified Registered in Colton, CA