Kevin Jon Millet, CRNA - Medicare Nurse Anesthetist, Certified Registered in Rancho Cucamonga, CA

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Kevin Jon Millet, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Rancho Cucamonga, California. His current practice location is 9674 Archibald Ave Ste 125, Rancho Cucamonga, California. You can reach out to his office (for appointments etc.) via phone at (909) 296-8930.

Kevin Jon Millet is licensed to practice in California (license number RN543799) 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 1083699854.

Contact Information

Kevin Jon Millet, CRNA
9674 Archibald Ave Ste 125,
Rancho Cucamonga, CA 91730-7944
(909) 296-8930
(909) 296-8935

Map and Direction




Provider's Profile

Full NameKevin Jon Millet
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location9674 Archibald Ave Ste 125, Rancho Cucamonga, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083699854
  • Provider Enumeration Date: 12/14/2005
  • Last Update Date: 05/08/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 7315041787
  • Enrollment ID: I20070326000227

Medical Identifiers

Medical identifiers for Kevin Jon Millet such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083699854NPI-NPPES
RN5437990MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN543799 (California)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. Kevin Jon Millet allows following entities to bill medicare on his behalf.
Entity NameFaculty Physicians And Surgeons Of Llusm
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205009917
PECOS PAC ID: 1153227814
Enrollment ID: O20031211000981
Entity NameMillet Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669599429
PECOS PAC ID: 0244389120
Enrollment ID: O20090526000195
Entity NameKnd Development 59 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740519081
PECOS PAC ID: 3678602802
Enrollment ID: O20100724000249
Entity NameAria Anesthesia Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407124712
PECOS PAC ID: 6709043946
Enrollment ID: O20120131000519
Entity NameBairos Nursing Anesthesia Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861744161
PECOS PAC ID: 4789837550
Enrollment ID: O20130102000297
Entity NameAnesthesia Provider Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538404256
PECOS PAC ID: 1951544329
Enrollment ID: O20130904000472

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. Kevin Jon Millet 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
Kevin Jon Millet, CRNA
210 N Tustin Ave,
Santa Ana, CA 92705-3807

Ph: (714) 347-1010		Kevin Jon Millet, CRNA
9674 Archibald Ave Ste 125,
Rancho Cucamonga, CA 91730-7944

Ph: (909) 296-8930

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Rancho Cucamonga, CA

Mrs. Cathy Tang Sayat,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 11660 Church St, Unit 123, Rancho Cucamonga, CA 91730
Phone: 909-524-6808    
Mr. James C Estrada, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 8641 Mandarin Ave, Rancho Cucamonga, CA 91701
Phone: 909-987-7196    Fax: 909-987-7196
Mary A. Wilson, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 10841 White Oak Ave, Rancho Cucamonga, CA 91730
Phone: 909-581-6400    Fax: 909-581-6418
Andrea Marie Dowdy,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 10841 White Oak Ave, Rancho Cucamonga, CA 91730
Phone: 909-581-6400    Fax: 909-581-6418

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.