Kelly Mccormick, CRNA in Colton, CA - Medicare Certified Registered Nurse Anesthetist (crna)

Kelly Mccormick, CRNA is a medicare enrolled "Registered Nurse" in Colton, California. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Regents Of The University Of California and her current practice location is 400 N Pepper Ave, Colton, California. You can reach out to her office (for appointments etc.) via phone at (909) 580-1000.

Kelly Mccormick is licensed to practice in California (license number 751741) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1932534039.

Contact Information

	Kelly Mccormick, CRNA
	400 N Pepper Ave, Colton, CA 92324-1801
	(909) 580-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Mccormick
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	11 Years
Location	400 N Pepper Ave, Colton, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Mccormick graduated from nursing school in 2013

NPI Data:

NPI Number: 1932534039
Provider Enumeration Date: 09/08/2013
Last Update Date: 04/26/2020

Medicare PECOS Information:

PECOS PAC ID: 1557594546
Enrollment ID: I20140428000887

Medical Identifiers

Medical identifiers for Kelly Mccormick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932534039	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	95000021 (California)	Secondary
163W00000X	Registered Nurse	751741 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ronald Reagan Ucla Medical Center	Los angeles, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Regents Of The University Of California	8527971316	218

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. Kelly Mccormick allows following entities to bill medicare on her behalf.

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326096165 PECOS PAC ID: 8527971316 Enrollment ID: O20031107000404

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Martin Luther King Jr Community Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356899777 PECOS PAC ID: 8628359502 Enrollment ID: O20170109001311

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. Kelly Mccormick 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
Kelly Mccormick, CRNA 400 N Pepper Ave, Colton, CA 92324-1801 Ph: () -	Kelly Mccormick, CRNA 400 N Pepper Ave, Colton, CA 92324-1801 Ph: (909) 580-1000

Reviews and Comments

Registered Nurse Nurses in Colton, CA

Cindy Cozart, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1800
Linda Matthews, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3144 Fax: 909-580-2165
Brandi Deuel, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3144 Fax: 909-580-2165
Chique Lou Flores, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1800
Patricia Abba, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1800
Mimosa Tumang, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1800
Edith Harris, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1800

Kelly Mccormick, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Colton, CA