Kyle Pruett, CRNA in Cambridge, MN - Medicare Nurse Anesthetist, Certified Registered

Kyle Pruett, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Cambridge, Minnesota. His current practice location is 701 Dellwood St S, Cambridge, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 689-7700.

Kyle Pruett is licensed to practice in Minnesota (license number 2743) 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 1780311217.

Contact Information

	Kyle Pruett, CRNA
	701 Dellwood St S, Cambridge, MN 55008-1920
	(763) 689-7700
	Not Available

Map and Direction

Provider's Profile

Full Name	Kyle Pruett
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	701 Dellwood St S, Cambridge, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780311217
Provider Enumeration Date: 08/04/2022
Last Update Date: 11/17/2022

Medicare PECOS Information:

PECOS PAC ID: 5294104428
Enrollment ID: I20221212000407

Medical Identifiers

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

Identifier	Type	State	Issuer
1780311217	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	2365578 (Minnesota)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	2743 (Minnesota)	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. Kyle Pruett allows following entities to bill medicare on his behalf.

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

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 Pruett 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 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

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Cambridge, MN

Allison Monroe Keller, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 763-689-8700
Kevin R Bray, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments 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: Medicare Enrolled 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

Kyle Pruett, CRNA - Medicare Nurse Anesthetist, Certified Registered in Cambridge, MN