Timothy Paul Kordick, CRNA in Poplar Bluff, MO - Medicare Certified Registered Nurse Anesthetist (crna)

Timothy Paul Kordick, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Poplar Bluff, Missouri. He graduated from nursing school in 1998 and has 26 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Capital Anesthesia Solutions Of Missouri, Llc and his current practice location is 2620 N Westwood Blvd, Poplar Bluff, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 686-4111.

Timothy Paul Kordick is licensed to practice in Missouri (license number 2004031215) 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 1174796601.

Contact Information

	Timothy Paul Kordick, CRNA
	2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396
	(573) 686-4111
	Not Available

Map and Direction

Provider's Profile

Full Name	Timothy Paul Kordick
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	26 Years
Location	2620 N Westwood Blvd, Poplar Bluff, Missouri
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:

Timothy Paul Kordick graduated from nursing school in 1998

NPI Data:

NPI Number: 1174796601
Provider Enumeration Date: 04/04/2008
Last Update Date: 04/04/2008

Medicare PECOS Information:

PECOS PAC ID: 0749234862
Enrollment ID: I20050310000686

Medical Identifiers

Medical identifiers for Timothy Paul Kordick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174796601	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	2004031215 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Poplar Bluff Regional Medical Center	Poplar bluff, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Capital Anesthesia Solutions Of Missouri, Llc	1456764885	23

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. Timothy Paul Kordick allows following entities to bill medicare on his behalf.

Entity Name	Clinical Colleagues Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992725766 PECOS PAC ID: 8729011333 Enrollment ID: O20130507000341

Entity Name	Capital Anesthesia Solutions Of Missouri, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770185472 PECOS PAC ID: 1456764885 Enrollment ID: O20210104001560

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. Timothy Paul Kordick 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
Timothy Paul Kordick, CRNA Po Box 88, Poplar Bluff, MO 63902-0088 Ph: (573) 727-2724	Timothy Paul Kordick, CRNA 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396 Ph: (573) 686-4111

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Poplar Bluff, MO

Ms. Shirley A Jautz, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 221 Physicians Park, Poplar Bluff, MO 63901 Phone: 573-727-9080
Joshua Ryan Morse, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3100 Oak Grove Rd, Poplar Bluff, MO 63901 Phone: 573-776-2000
Shane D Faltys, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-718-2710
Roger Dean Faltys, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-727-2295
Mr. Glenn Dean Carlton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 621 W Pine St, Poplar Bluff, MO 63901 Phone: 573-686-4111
Mr. Richard Leroy Crayton, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-785-7721

Timothy Paul Kordick, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Poplar Bluff, MO