Keith B Lose, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Mobile, Alabama. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Anesthesiologists Associated Pc and his current practice location is
5 Mobile Infirmary Cir, Mobile, Alabama. You can reach out to his office (for appointments etc.) via phone at
(251) 432-4497.
Keith B Lose is licensed to practice in Alabama (license number 1090688) 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 1164579884.
Physician's Profile
| Full Name | Keith B Lose |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 18 Years |
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| Location | 5 Mobile Infirmary Cir, Mobile, Alabama |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Keith B Lose graduated from medical school in 2006
NPI Data:
- NPI Number: 1164579884
- Provider Enumeration Date: 01/04/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5193828846
- Enrollment ID: I20070316000421
Medical Identifiers
Medical identifiers for Keith B Lose such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164579884 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | 1-090688 (Alabama) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 1090688 (Alabama) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Anesthesiologists Associated Pc | 6204739519 | 361 |
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. Keith B Lose allows following entities to bill medicare on his behalf.
| Entity Name | Anesthesiologists Associated Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851371850
PECOS PAC ID: 6204739519
Enrollment ID: O20040202000465 |
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| Entity Name | Anesthesia Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649265810
PECOS PAC ID: 1557352754
Enrollment ID: O20040518001018 |
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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. Keith B Lose 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 |
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Keith B Lose, CRNA
Po Box 934369,
Atlanta, GA 31193-0001
Ph: (800) 897-6169 | Keith B Lose, CRNA
5 Mobile Infirmary Cir,
Mobile, AL 36607-3513
Ph: (251) 432-4497 |
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