John M Ricketts, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Kennett, Missouri. He graduated from nursing school in 1976 and has 50 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Pemiscot County Memorial Hospital and his current practice location is
1231 1st St, Kennett, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 888-4522.
John M Ricketts is licensed to practice in Missouri (license number 060608) 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 1053520874.
Provider's Profile
| Full Name | John M Ricketts |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 50 Years |
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| Location | 1231 1st St, Kennett, Missouri |
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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:
- John M Ricketts graduated from nursing school in 1976
NPI Data:
- NPI Number: 1053520874
- Provider Enumeration Date: 05/21/2007
- Last Update Date: 08/06/2014
Medicare PECOS Information:
- PECOS PAC ID: 4385604180
- Enrollment ID: I20041015000627
Medical Identifiers
Medical identifiers for John M Ricketts such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053520874 | NPI | - | NPPES |
| 145737701 | Medicaid | AR | |
| 1053520874 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 060608 (Missouri) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Pemiscot County Memorial Hospital | 8426024159 | 24 |
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. John M Ricketts allows following entities to bill medicare on his behalf.
| Entity Name | Pemiscot County Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437251881
PECOS PAC ID: 8426024159
Enrollment ID: O20051005000137 |
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| Entity Name | Pemiscot County Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578668661
PECOS PAC ID: 8426024159
Enrollment ID: O20070326000204 |
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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. John M Ricketts 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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John M Ricketts, CRNA
209 S Main St,
Poplar Bluff, MO 63901-5831
Ph: (573) 686-5550 | John M Ricketts, CRNA
1231 1st St,
Kennett, MO 63857-2527
Ph: (573) 888-4522 |
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