Keller Phalen, CRNA in Madison, TN - Medicare Nurse Anesthetist, Certified Registered

Keller Phalen, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Madison, Tennessee. Her current practice location is 315 Hospital Dr, Madison, Tennessee. You can reach out to her office (for appointments etc.) via phone at (615) 732-7671.

Keller Phalen is licensed to practice in Tennessee (license number 33193) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1154098671.

Contact Information

	Keller Phalen, CRNA
	315 Hospital Dr, Madison, TN 37115-5030
	(615) 732-7671
	Not Available

Map and Direction

Provider's Profile

Full Name	Keller Phalen
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	315 Hospital Dr, Madison, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154098671
Provider Enumeration Date: 08/23/2021
Last Update Date: 10/12/2023

Medicare PECOS Information:

PECOS PAC ID: 2668846502
Enrollment ID: I20230316001129

Medical Identifiers

Medical identifiers for Keller Phalen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154098671	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	0000242014 (Tennessee)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	33193 (Tennessee)	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. Keller Phalen allows following entities to bill medicare on her 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. Keller Phalen 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
Keller Phalen, CRNA 1201 Church St Apt 570, Nashville, TN 37203-3687 Ph: (219) 776-8786	Keller Phalen, CRNA 315 Hospital Dr, Madison, TN 37115-5030 Ph: (615) 732-7671

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Madison, TN

Steven L. Beaty, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1994 Gallatin Pike N, Suite 202, Madison, TN 37115 Phone: 615-851-0001 Fax: 615-851-0021
Henry Garcia, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 154 Cude Ln, Madison, TN 37115 Phone: 615-865-6268 Fax: 615-868-7378
Alexa Roche, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 315 Hospital Dr, Madison, TN 37115 Phone: 615-868-6503
William Fraser, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 154 Cude Ln, Madison, TN 37115 Phone: 615-865-6268 Fax: 615-868-7378
Troy Sasser, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 154 Cude Ln, Madison, TN 37115 Phone: 615-865-6268 Fax: 615-868-7378
Thomas Coghlan, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 154 Cude Ln, Madison, TN 37115 Phone: 615-865-6268 Fax: 615-868-7378
Alexander W Donesky, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 315 Hospital Dr, Madison, TN 37115 Phone: 615-868-6503

Keller Phalen, CRNA - Medicare Nurse Anesthetist, Certified Registered in Madison, TN