Kendal W Miller, CRNA in Fort Sam Houston, TX - Medicare Nurse Anesthetist, Certified Registered

Kendal W Miller, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Sam Houston, Texas. His current practice location is 3551 Roger Brooke Dr, Fort Sam Houston, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 916-9588.

Kendal W Miller is licensed to practice in Louisiana (license number AP06178) 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 1053625426.

Contact Information

	Kendal W Miller, CRNA
	3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504
	(210) 916-9588
	Not Available

Map and Direction

Provider's Profile

Full Name	Kendal W Miller
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	3551 Roger Brooke Dr, Fort Sam Houston, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053625426
Provider Enumeration Date: 07/28/2010
Last Update Date: 01/09/2024

Medicare PECOS Information:

PECOS PAC ID: 4082808530
Enrollment ID: I20101029000067

Medical Identifiers

Medical identifiers for Kendal W Miller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053625426	NPI	-	NPPES
2125630	Medicaid	LA
1053625426	Other	LA	BCBS OF LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	AP06178 (Louisiana)	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. Kendal W Miller allows following entities to bill medicare on his behalf.

Entity Name	Louisiana State University School Of Medicine In New Orleans Faculty G
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477582526 PECOS PAC ID: 0244136448 Enrollment ID: O20031209000661

Entity Name	Northlake Anesthesiologists, A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306949185 PECOS PAC ID: 3072597681 Enrollment ID: O20040614000209

Entity Name	Youngs Professional Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20070226000608

Entity Name	Zephyr Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891087458 PECOS PAC ID: 1658559125 Enrollment ID: O20110705000180

Entity Name	University Medical Center Management Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083655567 PECOS PAC ID: 7012150311 Enrollment ID: O20130906000137

Entity Name	Gastro Anesthesia Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609253442 PECOS PAC ID: 9638483944 Enrollment ID: O20150730013027

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. Kendal W Miller 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
Kendal W Miller, CRNA 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 Ph: (501) 987-7445	Kendal W Miller, CRNA 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 916-9588

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fort Sam Houston, TX

Janet Jones Sims, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 253-223-6272
Dr. Adam Sokolowski, DNP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-8216
Matthew Wayne Mcgregor, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582
Mrs. Debra Valdivieso, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-9404
Heather Sherman Leal, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-8534
George C May, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-9588

Kendal W Miller, CRNA - Medicare Nurse Anesthetist, Certified Registered in Fort Sam Houston, TX