John Thomas Kezele Iii, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Preston, Idaho. His current practice location is
44 N 100 E, Preston, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 852-0137.
John Thomas Kezele Iii is licensed to practice in Idaho (license number RNA-366A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1326239419.
Provider's Profile
| Full Name | John Thomas Kezele Iii |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 44 N 100 E, Preston, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1326239419
- Provider Enumeration Date: 08/05/2007
- Last Update Date: 05/12/2015
Medicare PECOS Information:
- PECOS PAC ID: 3577876481
- Enrollment ID: I20150722003363
Medical Identifiers
Medical identifiers for John Thomas Kezele Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326239419 | NPI | - | NPPES |
| 0015341 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | RNA-366A (Idaho) | 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. John Thomas Kezele Iii allows following entities to bill medicare on his behalf.
| Entity Name | Franklin County Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548355811
PECOS PAC ID: 8820909104
Enrollment ID: O20070917000547 |
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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 Thomas Kezele Iii 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 Thomas Kezele Iii, CRNA
104 N Bear River Blfs,
Preston, ID 83263-5184
Ph: (208) 852-2019 | John Thomas Kezele Iii, CRNA
44 N 100 E,
Preston, ID 83263-1326
Ph: (208) 852-0137 |
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