Mr Kellon Sean Smith, CRNA in Cumberland, MD - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Kellon Sean Smith, CRNA is a medicare enrolled "Registered Nurse - Medical-surgical" in Cumberland, Maryland. He graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Potomac Valley Hospital Of Wva, Inc and his current practice location is 12500 Willowbrook Rd, Cumberland, Maryland. You can reach out to his office (for appointments etc.) via phone at (240) 964-3600.

Mr Kellon Sean Smith is licensed to practice in Maryland (license number R203959) 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 1588902340.

Contact Information

	Mr Kellon Sean Smith, CRNA
	12500 Willowbrook Rd, Cumberland, MD 21502-6393
	(240) 964-3600
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Kellon Sean Smith
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	12 Years
Location	12500 Willowbrook Rd, Cumberland, Maryland
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:

Mr Kellon Sean Smith graduated from nursing school in 2012

NPI Data:

NPI Number: 1588902340
Provider Enumeration Date: 01/29/2013
Last Update Date: 01/29/2013

Medicare PECOS Information:

PECOS PAC ID: 0345486536
Enrollment ID: I20160108002312

Medical Identifiers

Medical identifiers for Mr Kellon Sean Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588902340	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WM0705X	Registered Nurse - Medical-surgical	R203959 (Maryland)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Potomac Valley Hospital	Keyser, WV	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Potomac Valley Hospital Of Wva, Inc	8123917788	40

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. Mr Kellon Sean Smith allows following entities to bill medicare on his behalf.

Entity Name	Potomac Valley Hospital Of Wva, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316054919 PECOS PAC ID: 8123917788 Enrollment ID: O20040311001344

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. Mr Kellon Sean Smith 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
Mr Kellon Sean Smith, CRNA 115 Baltimore St, Suite 200, Cumberland, MD 21502-2301 Ph: (301) 723-4965	Mr Kellon Sean Smith, CRNA 12500 Willowbrook Rd, Cumberland, MD 21502-6393 Ph: (240) 964-3600

Reviews and Comments

Registered Nurse Nurses in Cumberland, MD

Donna Jean Schellhase, RN-C Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 900 Seton Dr, 2nd Floor, Cumberland, MD 21502 Phone: 301-723-5030 Fax: 301-723-1480
Emily Teets, NP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 12502 Willowbrook Rd, Cumberland, MD 21502 Phone: 240-964-7000 Fax: 240-964-8687
Gelila Getachew Ritchey, CRNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: Mountain View Primary Care 1602 Ford Avenue, Cumberland, MD 21502 Phone: 301-759-4544 Fax: 301-723-4446
Antoinette D Baughman, RN-BC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 12503 Willowbrook Rd, Cumberland, MD 21502 Phone: 301-759-5280 Fax: 301-777-5630
Jessica Rhae Grove, MSN, FNP-C Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 625 Kent Ave Ste 204, Cumberland, MD 21502 Phone: 301-777-7300 Fax: 301-777-7121
Patricia J Squires, RN-BC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 12503 Willowbrook Rd, Cumberland, MD 21502 Phone: 301-759-2580 Fax: 301-777-5630
Jane Faith, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 10102 Country Club Rd Se, Cumberland, MD 21502 Phone: 301-777-2285 Fax: 301-777-2160

Mr Kellon Sean Smith, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Cumberland, MD