Mr Krishneel Lall, CRNA in Santa Rosa, CA - Medicare Nurse Anesthetist, Certified Registered

Mr Krishneel Lall, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Santa Rosa, California. His current practice location is 401 Bicentennial Way, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at (707) 393-4000.

Mr Krishneel Lall is licensed to practice in California (license number 95000065) 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 1164846275.

Contact Information

	Mr Krishneel Lall, CRNA
	401 Bicentennial Way, Santa Rosa, CA 95403-2149
	(707) 393-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Krishneel Lall
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	401 Bicentennial Way, Santa Rosa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164846275
Provider Enumeration Date: 02/10/2014
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 3476878448
Enrollment ID: I20160218001705

Medical Identifiers

Medical identifiers for Mr Krishneel Lall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164846275	NPI	-	NPPES
585430	Other	CA	RN
100748	Other		CRNA
95000065	Other	CA	CRNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	95000065 (California)	Primary
367500000X	Nurse Anesthetist, Certified Registered	RN 585430 (California)	Secondary

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 Krishneel Lall allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

Entity Name	Amsurg Marin Anesthesia Lp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972929925 PECOS PAC ID: 7214160191 Enrollment ID: O20140603000058

Entity Name	Santa Rosa Surgical Services Llc
Entity Type	Part B Supplier - Ambulatory Surgical Center
Entity Identifiers	NPI Number: 1497407894 PECOS PAC ID: 0446647580 Enrollment ID: O20220420001318

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 Krishneel Lall 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 Krishneel Lall, CRNA 401 Bicentennial Way, Santa Rosa, CA 95403-2149 Ph: (707) 393-4000	Mr Krishneel Lall, CRNA 401 Bicentennial Way, Santa Rosa, CA 95403-2149 Ph: (707) 393-4000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Santa Rosa, CA

Delilah Patterson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-393-4616
Mr. Dennis Eugene Oliver, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Kaiser Hospital, Santa Rosa, CA 95403 Phone: 707-571-4616 Fax: 707-571-3144
Mr. Gregory Lorne Groeneveld, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 170-571-4000 Fax: 707-836-0173
Ms. Indra Johansson-matthews, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000
Mrs. Merri Beth Callender, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial, Kaiser, Santa Rosa, CA 95403 Phone: 707-571-4616
Michael D Chevlen, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 310-274-7515

Mr Krishneel Lall, CRNA - Medicare Nurse Anesthetist, Certified Registered in Santa Rosa, CA