Kyle J Dickall, in Kingsport, TN - Medicare Certified Registered Nurse Anesthetist (crna)

Kyle J Dickall, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Kingsport, Tennessee. He graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Covenant Anesthesia Group Pc and his current practice location is 130 W Ravine Rd, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 224-4000.

Kyle J Dickall is licensed to practice in Tennessee (license number 27200) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1609417369.

Contact Information

	Kyle J Dickall,
	130 W Ravine Rd, Kingsport, TN 37660-3837
	(423) 224-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Kyle J Dickall
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	7 Years
Location	130 W Ravine Rd, Kingsport, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kyle J Dickall graduated from nursing school in 2019

NPI Data:

NPI Number: 1609417369
Provider Enumeration Date: 10/03/2019
Last Update Date: 02/24/2020

Medicare PECOS Information:

PECOS PAC ID: 4688004740
Enrollment ID: I20200414001444

Medical Identifiers

Medical identifiers for Kyle J Dickall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609417369	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	198328 (Tennessee)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	27200 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Methodist Medical Center Of Oak Ridge	Oak ridge, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Covenant Anesthesia Group Pc	6901795830	192

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. Kyle J Dickall allows following entities to bill medicare on his behalf.

Entity Name	Covenant Anesthesia Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639148117 PECOS PAC ID: 6901795830 Enrollment ID: O20040310001466

Entity Name	American Anesthesiology Of Tennessee Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609822998 PECOS PAC ID: 9931001922 Enrollment ID: O20040713001364

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. Kyle J Dickall 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
Kyle J Dickall, 284 Chesterfield Dr, Kingsport, TN 37663-2976 Ph: (615) 604-6390	Kyle J Dickall, 130 W Ravine Rd, Kingsport, TN 37660-3837 Ph: (423) 224-4000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Kingsport, TN

Mrs. Stacey Ann Ryder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-4000
Jeffry M Holweger, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4128 Fort Henry Dr # D-226, Kingsport, TN 37663 Phone: 423-426-2121
Geena Sollecito, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10415 Wallace Alley St, Kingsport, TN 37663 Phone: 423-390-0451
Jeri L Holweger, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4128 Fort Henry Dr # D-226, Kingsport, TN 37663 Phone: 423-426-2122
Mrs. Katherine A Miller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2000 Brookside Dr, Kingsport, TN 37660 Phone: 423-857-7144
Bethany Kossick Seale, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-5711
Sandra J White, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2000 Brookside Dr, Kingsport, TN 37660 Phone: 423-857-7000

Kyle J Dickall, - Medicare Certified Registered Nurse Anesthetist (crna) in Kingsport, TN