Kevin Hal Liljenquist, - Medicare Certified Registered Nurse Anesthetist (crna) in Galena, KS

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Kevin Hal Liljenquist, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Galena, Kansas. He graduated from nursing school in 2022 and has 2 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Four States Anesthesia Services Llc, Mercy Hospital Carthage, Four States Anesthesia Services Llc and his current practice location is 444 Four States Dr Ste 2, Galena, Kansas. You can reach out to his office (for appointments etc.) via phone at (620) 783-4000.

Kevin Hal Liljenquist is licensed to practice in Missouri (license number 2022021647) 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 1952041790.

Contact Information

Kevin Hal Liljenquist,
444 Four States Dr Ste 2,
Galena, KS 66739-4325
(620) 783-4000
Not Available

Map and Direction




Provider's Profile

Full NameKevin Hal Liljenquist
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience2 Years
Location444 Four States Dr Ste 2, Galena, Kansas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kevin Hal Liljenquist graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1952041790
  • Provider Enumeration Date: 03/30/2022
  • Last Update Date: 06/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6507246832
  • Enrollment ID: I20220705001826

Medical Identifiers

Medical identifiers for Kevin Hal Liljenquist such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952041790NPI-NPPES
910110875MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 2022021647 (Missouri)Primary
163W00000XRegistered Nurse 2017026396 (Missouri)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Specialty Hospital Southeast KansasGalena, KSHospital
Mercy Hospital CarthageCarthage, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Four States Anesthesia Services Llc872997328420
Mercy Hospital Carthage842622525119
Four States Anesthesia Services Llc872997328420

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. Kevin Hal Liljenquist allows following entities to bill medicare on his behalf.
Entity NameFour States Anesthesia Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053382929
PECOS PAC ID: 8729973284
Enrollment ID: O20040216000537
Entity NameMercy Hospital Carthage
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003201955
PECOS PAC ID: 8426225251
Enrollment ID: O20120225000071
Entity NameLester E Cox Medical Centers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174952212
PECOS PAC ID: 1658509864
Enrollment ID: O20140115001602
Entity NameMercy Hospital Carthage
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1003201955
PECOS PAC ID: 8426225251
Enrollment ID: O20141203001963

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. Kevin Hal Liljenquist 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
Kevin Hal Liljenquist,
Po Box 802843,
Kansas City, MO 64180-2843

Ph: () -		Kevin Hal Liljenquist,
444 Four States Dr Ste 2,
Galena, KS 66739-4325

Ph: (620) 783-4000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Galena, KS

Danielle R Jackson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 444 Four States Dr, Suite 2, Galena, KS 66739
Phone: 620-783-4441    
Mr. Keanon Walker, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 444 Four States Dr, Suite 2, Galena, KS 66739
Phone: 620-783-4000    Fax: 620-783-4188
Jonathan Bryan Sperry, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 444 Four States Dr, Suite 1, Galena, KS 66739
Phone: 620-783-4000    

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.