Philip Jake Killgore, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Minden, LA

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Philip Jake Killgore, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Minden, Louisiana. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Minden Anesthesia Llc, Shreveport Sedation Associates, Llc and his current practice location is 1 Medical Plaza Pl, Minden, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 377-2321.

Philip Jake Killgore is licensed to practice in Louisiana (license number 205140) 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 1295280436.

Contact Information

Philip Jake Killgore, CRNA
1 Medical Plaza Pl,
Minden, LA 71055-3330
(318) 377-2321
Not Available

Map and Direction




Provider's Profile

Full NamePhilip Jake Killgore
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience8 Years
Location1 Medical Plaza Pl, Minden, Louisiana
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:
  • Philip Jake Killgore graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1295280436
  • Provider Enumeration Date: 08/17/2016
  • Last Update Date: 07/18/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5496034092
  • Enrollment ID: I20190809000354

Medical Identifiers

Medical identifiers for Philip Jake Killgore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295280436NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 205140 (Louisiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Minden Medical CenterMinden, LAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Minden Anesthesia Llc13556877575
Shreveport Sedation Associates, Llc31738867369

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. Philip Jake Killgore allows following entities to bill medicare on his behalf.
Entity NameShreveport Sedation Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770083164
PECOS PAC ID: 3173886736
Enrollment ID: O20180412000333
Entity NameMinden Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710456736
PECOS PAC ID: 1355687757
Enrollment ID: O20190107000024
Entity NameAnesthesia Dynamics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073001012
PECOS PAC ID: 3779832530
Enrollment ID: O20201020002548

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. Philip Jake Killgore 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
Philip Jake Killgore, CRNA
Po Box 1547,
Sedalia, MO 65302-1547

Ph: (660) 826-5960		Philip Jake Killgore, CRNA
1 Medical Plaza Pl,
Minden, LA 71055-3330

Ph: (318) 377-2321

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Minden, LA

Mr. Larry Joe Haley, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1 Medical Plaza Pl, Minden, LA 71055
Phone: 318-377-2321    Fax: 318-371-3219
Mr. George Wayne Byram Jr., CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Plaza Pl, Minden, LA 71055
Phone: 318-377-2321    
Gregory David Powell, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 318 Braeburn Glen Dr, Minden, LA 71055
Phone: 318-245-1725    
Dean Boelter, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1 Medical Plaza Pl, Minden, LA 71055
Phone: 318-377-2321    

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.