Keaton Lantrip, in San Diego, CA - Medicare Nurse Anesthetist, Certified Registered

Keaton Lantrip, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in San Diego, California. His current practice location is 200 W Arbor Dr, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (800) 926-8273.

Keaton Lantrip is licensed to practice in California (license number 95002369) 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 1043059686.

Contact Information

	Keaton Lantrip,
	200 W Arbor Dr, San Diego, CA 92103-9000
	(800) 926-8273
	(888) 539-8781

Map and Direction

Provider's Profile

Full Name	Keaton Lantrip
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	200 W Arbor Dr, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043059686
Provider Enumeration Date: 05/22/2024
Last Update Date: 07/15/2024

Medicare PECOS Information:

PECOS PAC ID: 5294272902
Enrollment ID: I20240730004499

Medical Identifiers

Medical identifiers for Keaton Lantrip such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043059686	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	95002369 (California)	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. Keaton Lantrip allows following entities to bill medicare on his behalf.

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265535702 PECOS PAC ID: 3577476761 Enrollment ID: O20040102000635

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. Keaton Lantrip 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
Keaton Lantrip, File 57326, Los Angeles, CA 90074-7326 Ph: (858) 249-6748	Keaton Lantrip, 200 W Arbor Dr, San Diego, CA 92103-9000 Ph: (800) 926-8273

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in San Diego, CA

Ms. Elisabeth Noel Walker, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr Mc 8201, Ucsd Medical Center, San Diego, CA 92103 Phone: 619-543-5720 Fax: 619-543-3183
Ardis L Taschner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-528-5000
Lena Grace Stephens, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-8943
Heidemarie Dreger, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4405 Vandever Ave, San Diego, CA 92120 Phone: 619-528-5000
Mr. Jason Wyatt Cole, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273
Mrs. Maryanne Elizabeth Baumgartner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-8960
Mr. Ryan L Nations, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781

Keaton Lantrip, - Medicare Nurse Anesthetist, Certified Registered in San Diego, CA