Carolyn Frances Kenngott, CRNA in Nogales, AZ - Medicare Nurse Anesthetist, Certified Registered

Carolyn Frances Kenngott, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Nogales, Arizona. Her current practice location is 1171 W Target Range Rd, Nogales, Arizona. You can reach out to her office (for appointments etc.) via phone at (520) 285-3000.

Carolyn Frances Kenngott is licensed to practice in Arizona (license number CRNA0689) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1659333078.

Contact Information

	Carolyn Frances Kenngott, CRNA
	1171 W Target Range Rd, Nogales, AZ 85621-2415
	(520) 285-3000
	Not Available

Map and Direction

Provider's Profile

Full Name	Carolyn Frances Kenngott
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	1171 W Target Range Rd, Nogales, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659333078
Provider Enumeration Date: 04/03/2006
Last Update Date: 01/10/2012

Medicare PECOS Information:

PECOS PAC ID: 5294784252
Enrollment ID: I20110513000309

Medical Identifiers

Medical identifiers for Carolyn Frances Kenngott such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659333078	NPI	-	NPPES
599761	Medicaid	AZ
Z145034	Other	AZ	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	CRNA0689 (Arizona)	Primary

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. Carolyn Frances Kenngott allows following entities to bill medicare on her behalf.

Entity Name	Bisbee Hospital Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518968767 PECOS PAC ID: 5092626168 Enrollment ID: O20040623001007

Entity Name	Medical Services Of Southern Arizona
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871985366 PECOS PAC ID: 0345568424 Enrollment ID: O20150422000540

Entity Name	Tucson Physician Group Holdings Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356726939 PECOS PAC ID: 0547560070 Enrollment ID: O20151204001261

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. Carolyn Frances Kenngott 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
Carolyn Frances Kenngott, CRNA 2202 N Forbes Blvd, Tucson, AZ 85745-1412 Ph: (520) 872-7536	Carolyn Frances Kenngott, CRNA 1171 W Target Range Rd, Nogales, AZ 85621-2415 Ph: (520) 285-3000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Nogales, AZ

Mr. Stephen A Henefield, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1171 W Target Range Rd, Nogales, AZ 85621 Phone: 520-285-8010
Amos Herr Wilkinson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1171 W Target Range Rd, Nogales, AZ 85621 Phone: 520-285-3000
James Lindsey King, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1209 W Target Range Road, Suite 102, Nogales, AZ 85621 Phone: 520-287-4020 Fax: 520-287-2348
John A. Moore, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1171 W Target Range Rd, Nogales, AZ 85621 Phone: 520-287-4747
Leon Francis Deisering, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1209 W Target Range Road, Suite 102, Nogales, AZ 85621 Phone: 520-287-4020 Fax: 520-287-2348
Nathan Alan Harvey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1171 W Target Range Rd, Nogales, AZ 85621 Phone: 520-285-3000

Carolyn Frances Kenngott, CRNA - Medicare Nurse Anesthetist, Certified Registered in Nogales, AZ