Kenneth K Potts, CRNA - Nurse Anesthetist, Certified Registered in Mendota, IL

  1. Home
  2. Nurse Anesthetist - CR
  3. IL
  4. Mendota
Kenneth K Potts, CRNA is a Nurse Anesthetist, Certified Registered based in Mendota, Illinois. Kenneth K Potts is licensed to practice in Illinois (license number 041136641) and his current practice location is 1401 East 12th Street, Mendota, Illinois. He can be reached at his office (for appointments etc.) via phone at (815) 539-7461.

NPI number for Kenneth K Potts is 1316960404 and his current mailing address is 1401 East 12th Street, Mendota, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316960404.

Contact Information

Kenneth K Potts, CRNA
1401 East 12th Street,
Mendota, IL 61342-9216
(815) 539-7461
(815) 539-1461

Map and Direction




Provider's Profile

Full NameKenneth K Potts
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location1401 East 12th Street, Mendota, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1316960404
  • Provider Enumeration Date: 07/26/2006
  • Last Update Date: 12/30/2011

Medical Identifiers

Medical identifiers for Kenneth K Potts such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316960404NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 041136641 (Illinois)Primary

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. Kenneth K Potts is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kenneth K Potts, CRNA
1401 East 12th Street,
Mendota, IL 61342-9216

Ph: (815) 539-7461		Kenneth K Potts, CRNA
1401 East 12th Street,
Mendota, IL 61342-9216

Ph: (815) 539-7461

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Mendota, IL

Mr. Richard Jospeh Baker,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1401 E 12th St, Mendota, IL 61342
Phone: 815-875-6001    Fax: 815-875-3612

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.