Sundance Zxaine Kemp, CAA in Muncie, IN - Medicare Anesthesiology Assistant

Sundance Zxaine Kemp, CAA is a medicare enrolled "Anesthesiologist Assistant" in Muncie, Indiana. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Anesthesiology Assistant. He is a member of the group practice Indiana University Health Ball Memorial Physicians Inc and his current practice location is 2401 W University Ave, Muncie, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 747-3111.

Sundance Zxaine Kemp is licensed to practice in Indiana (license number 75000098A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1679233118.

Contact Information

	Sundance Zxaine Kemp, CAA
	2401 W University Ave, Muncie, IN 47303-3499
	(765) 747-3111
	Not Available

Map and Direction

Provider's Profile

Full Name	Sundance Zxaine Kemp
Gender	Male
Speciality	Anesthesiology Assistant
Experience	3 Years
Location	2401 W University Ave, Muncie, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Sundance Zxaine Kemp graduated from nursing school in 2021

NPI Data:

NPI Number: 1679233118
Provider Enumeration Date: 12/25/2021
Last Update Date: 08/29/2023

Medicare PECOS Information:

PECOS PAC ID: 7315330057
Enrollment ID: I20220202000319

Medical Identifiers

Medical identifiers for Sundance Zxaine Kemp such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679233118	NPI	-	NPPES
M22404254	Other	IN	MEDICARE PTAN
PENDING	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367H00000X	Anesthesiologist Assistant	TL95 (South Carolina)	Secondary
367H00000X	Anesthesiologist Assistant	(* (Not Available))	Secondary
367H00000X	Anesthesiologist Assistant	75000098A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Indiana University Health Ball Memorial Hospital	Muncie, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Indiana University Health Ball Memorial Physicians Inc	9537072640	301

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. Sundance Zxaine Kemp allows following entities to bill medicare on his behalf.

Entity Name	Indiana University Health Ball Memorial Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235455544 PECOS PAC ID: 9537072640 Enrollment ID: O20031110000505

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. Sundance Zxaine Kemp 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
Sundance Zxaine Kemp, CAA 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () -	Sundance Zxaine Kemp, CAA 2401 W University Ave, Muncie, IN 47303-3499 Ph: (765) 747-3111

Reviews and Comments

Anesthesiologist Assistant Nurses in Muncie, IN

Mr. An Bao Nguyen, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2401 W University Ave, Muncie, IN 47303 Phone: 765-747-3111
Jordan L Hartung, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2401 W University Ave, Muncie, IN 47303 Phone: 765-751-6212
Charles Reilly Hester, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2401 W University Ave Fl 1, Muncie, IN 47303 Phone: 765-747-3111
Mr. Jordan Michael Holt, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 2401 W University Ave, Muncie, IN 47303 Phone: 765-751-2649 Fax: 765-281-6671

Sundance Zxaine Kemp, CAA - Medicare Anesthesiology Assistant in Muncie, IN