Kelechi Butler, APN-CRNA - Medicare Nurse Anesthetist, Certified Registered in Staten Island, NY

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Kelechi Butler, APN-CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Staten Island, New York. His current practice location is 19 Doreen Dr, Staten Island, New York. You can reach out to his office (for appointments etc.) via phone at (646) 318-0428.

Kelechi Butler is licensed to practice in New York (license number 554549) 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 1760876817.

Contact Information

Kelechi Butler, APN-CRNA
19 Doreen Dr,
Staten Island, NY 10303-2136
(646) 318-0428
Not Available

Map and Direction




Provider's Profile

Full NameKelechi Butler
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location19 Doreen Dr, Staten Island, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760876817
  • Provider Enumeration Date: 03/26/2015
  • Last Update Date: 01/22/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3577869569
  • Enrollment ID: I20160317001497

Medical Identifiers

Medical identifiers for Kelechi Butler such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760876817NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364S00000XClinical Nurse Specialist 26NR16538300 (New Jersey)Secondary
367500000XNurse Anesthetist, Certified Registered 554549 (New York)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. Kelechi Butler allows following entities to bill medicare on his behalf.
Entity NameNorth American Partners In Anesthesia Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649264706
PECOS PAC ID: 7719885771
Enrollment ID: O20040108000176
Entity NameJudah Schorr Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528160421
PECOS PAC ID: 5799674198
Enrollment ID: O20040420001228
Entity NameSedation Vacation Perioperative Medicine Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891235404
PECOS PAC ID: 1759658594
Enrollment ID: O20170525001955

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. Kelechi Butler 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 AddressPractice Location Address
Kelechi Butler, APN-CRNA
19 Doreen Dr,
Staten Island, NY 10303-2136

Ph: (646) 318-0428		Kelechi Butler, APN-CRNA
19 Doreen Dr,
Staten Island, NY 10303-2136

Ph: (646) 318-0428

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.