Kim Ellen Walecka I, CRNA - Medicare Nurse Anesthetist, Certified Registered in Dartmouth, MA

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Kim Ellen Walecka I, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Dartmouth, Massachusetts. Her current practice location is 228 Old Westport Rd, Dartmouth, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (774) 202-5729.

Kim Ellen Walecka I is licensed to practice in Massachusetts (license number 216893) 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 1053397414.

Contact Information

Kim Ellen Walecka I, CRNA
228 Old Westport Rd,
Dartmouth, MA 02747-2353
(774) 202-5729
Not Available

Map and Direction




Provider's Profile

Full NameKim Ellen Walecka I
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location228 Old Westport Rd, Dartmouth, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053397414
  • Provider Enumeration Date: 12/19/2005
  • Last Update Date: 10/12/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 7517996762
  • Enrollment ID: I20050808000707

Medical Identifiers

Medical identifiers for Kim Ellen Walecka I such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053397414NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 216893 (Massachusetts)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. Kim Ellen Walecka I allows following entities to bill medicare on her behalf.
Entity NameAnaesthesia Associates Of Massachusetts, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568415289
PECOS PAC ID: 5193611267
Enrollment ID: O20040225000842
Entity NameAnesthesia Professionals Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659346443
PECOS PAC ID: 0042297582
Enrollment ID: O20040702000303
Entity NameNarragansett Bay Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861445728
PECOS PAC ID: 5991774929
Enrollment ID: O20050714000216
Entity NameSteward Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629398219
PECOS PAC ID: 2860688728
Enrollment ID: O20101119000007
Entity NameSteward Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629398219
PECOS PAC ID: 2860688728
Enrollment ID: O20101119000332
Entity NameSteward Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043711914
PECOS PAC ID: 2860688728
Enrollment ID: O20180329001196
Entity NameLifespan Physician Group Of Massachusetts Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235957713
PECOS PAC ID: 3870020399
Enrollment ID: O20241223001706

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. Kim Ellen Walecka I 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
Kim Ellen Walecka I, CRNA
228 Old Westport Rd,
Dartmouth, MA 02747-2353

Ph: (774) 202-5729		Kim Ellen Walecka I, CRNA
228 Old Westport Rd,
Dartmouth, MA 02747-2353

Ph: (774) 202-5729

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Dartmouth, MA


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.