Dr Kenneth Wayne Edmisson Jr, ND EDD RNC FNP CRNA in Paducah, KY - Medicare Certified Registered Nurse Anesthetist (crna)

Dr Kenneth Wayne Edmisson Jr, ND EDD RNC FNP CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Paducah, Kentucky. He graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Anesthesia Medical Group, P.c. and his current practice location is 225 Medical Center Dr, #405, Paducah, Kentucky. You can reach out to his office (for appointments etc.) via phone at (270) 441-4750.

Dr Kenneth Wayne Edmisson Jr is licensed to practice in Tennessee (license number 6429) 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 1295731081.

Contact Information

	Dr Kenneth Wayne Edmisson Jr, ND EDD RNC FNP CRNA
	225 Medical Center Dr, #405, Paducah, KY 42003-7914
	(270) 441-4750
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Kenneth Wayne Edmisson Jr
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	15 Years
Location	225 Medical Center Dr, Paducah, Kentucky
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:

Dr Kenneth Wayne Edmisson Jr graduated from nursing school in 2009

NPI Data:

NPI Number: 1295731081
Provider Enumeration Date: 06/26/2005
Last Update Date: 10/04/2011

Medicare PECOS Information:

PECOS PAC ID: 4082675269
Enrollment ID: I20221230001138

Medical Identifiers

Medical identifiers for Dr Kenneth Wayne Edmisson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295731081	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APN0000006429 (Tennessee)	Secondary
363LF0000X	Nurse Practitioner - Family	0024162111 (Virginia)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	3007055 (Kentucky)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	6429 (Tennessee)	Primary
367500000X	Nurse Anesthetist, Certified Registered	1659 (Texas)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	12386-NA (Ohio)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tristar Horizon Medical Center	Dickson, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Anesthesia Medical Group, P.c.	6901702307	469

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. Dr Kenneth Wayne Edmisson Jr allows following entities to bill medicare on his behalf.

Entity Name	Anesthesia Medical Group, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215932413 PECOS PAC ID: 6901702307 Enrollment ID: O20031208000822

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. Dr Kenneth Wayne Edmisson Jr 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
Dr Kenneth Wayne Edmisson Jr, ND EDD RNC FNP CRNA 225 Medical Center Dr, #405, Paducah, KY 42003-7914 Ph: (270) 441-4750	Dr Kenneth Wayne Edmisson Jr, ND EDD RNC FNP CRNA 225 Medical Center Dr, #405, Paducah, KY 42003-7914 Ph: (270) 441-4750

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Paducah, KY

Eben Jordan Linder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1530 Lone Oak Rd, Paducah, KY 42003 Phone: 270-444-2444 Fax: 859-269-4120
Ronnie Bower, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 660 Whitney Dr, Paducah, KY 42001 Phone: 502-777-2705
Mr. Michael D Redd, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2507 Broadway St, Paducah, KY 42001 Phone: 270-442-8228 Fax: 270-442-9566
Mr. Francis Dillard, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2501 Kentucky Avenue, Western Baptist Hospital, Paducah, KY 42003 Phone: 270-575-2100
Danielle Lauren Witte, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1530 Lone Oak Rd, Paducah, KY 42003 Phone: 270-444-2444
Mr. Adrian G Thodoropoulos, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2507 Broadway St, Paducah, KY 42001 Phone: 270-442-8228 Fax: 270-442-9566
Mrs. Peyton Diane Englert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2501 Kentucky Ave, Paducah, KY 42003 Phone: 270-575-2100

Dr Kenneth Wayne Edmisson Jr, ND EDD RNC FNP CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Paducah, KY