| Kyle Pruett, CRNA | |
|
701 Dellwood St S, Cambridge, MN 55008-1920 | |
| (763) 689-7700 | |
| Not Available |
| Full Name | Kyle Pruett |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 3 Years |
| Location | 701 Dellwood St S, Cambridge, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780311217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 2365578 (Minnesota) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 2743 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cambridge Medical Center | Cambridge, MN | Hospital |
| Fairview Northland Regional Hospital | Princeton, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allina Health System | 4587573613 | 3584 |
| Central Minnesota Anesthesia Providers, Pa | 7315848876 | 10 |
| Entity Name | Centracare Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
| Entity Name | Central Minnesota Anesthesia Providers, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881689974 PECOS PAC ID: 7315848876 Enrollment ID: O20040116000877 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Pruett, CRNA 1502 15th St N, Princeton, MN 55371-1080 Ph: () - | Kyle Pruett, CRNA 701 Dellwood St S, Cambridge, MN 55008-1920 Ph: (763) 689-7700 |
Allison Monroe Keller, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 763-689-8700 | |
Kevin R Bray, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 763-689-7700 Fax: 763-689-7700 | |
Bethany Marie Undis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 763-689-7700 Fax: 763-689-7941 | |
Madeline Mackedanz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 763-689-7700 | |
Christy Sue Armstrong, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 763-689-7700 Fax: 763-689-7941 | |
Lori Lynn Adams, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 763-689-7700 | |
Patricia Hines, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 763-689-7700 Fax: 763-689-7941 |