Miss Ivy L Kasallis, RN, MSN in Los Angeles, CA - Medicare Certified Registered Nurse Anesthetist (crna)

Miss Ivy L Kasallis, RN, MSN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Los Angeles, California. She graduated from nursing school in 2011 and has 14 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Socal Anesthesia Solutions Inc and her current practice location is 1401 S Grand Ave, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (213) 748-2411.

Miss Ivy L Kasallis is licensed to practice in California (license number 95000114) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689956195.

Contact Information

	Miss Ivy L Kasallis, RN, MSN
	1401 S Grand Ave, Los Angeles, CA 90015-3010
	(213) 748-2411
	Not Available

Map and Direction

Provider's Profile

Full Name	Miss Ivy L Kasallis
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	14 Years
Location	1401 S Grand Ave, Los Angeles, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Miss Ivy L Kasallis graduated from nursing school in 2011

NPI Data:

NPI Number: 1689956195
Provider Enumeration Date: 09/12/2011
Last Update Date: 11/12/2018

Medicare PECOS Information:

PECOS PAC ID: 6204093123
Enrollment ID: I20170104001738

Medical Identifiers

Medical identifiers for Miss Ivy L Kasallis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689956195	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	669720 (California)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	95000114 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
California Hospital Medical Center La	Los angeles, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Socal Anesthesia Solutions Inc	0042607426	38

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. Miss Ivy L Kasallis allows following entities to bill medicare on her behalf.

Entity Name	Tip Top Anesthesia Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508283698 PECOS PAC ID: 0941429872 Enrollment ID: O20140908002508

Entity Name	Socal Anesthesia Solutions Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407596901 PECOS PAC ID: 0042607426 Enrollment ID: O20220504000637

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. Miss Ivy L Kasallis 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
Miss Ivy L Kasallis, RN, MSN 2207 N Western Ave Apt 3a, Chicago, IL 60647-4568 Ph: (607) 327-3326	Miss Ivy L Kasallis, RN, MSN 1401 S Grand Ave, Los Angeles, CA 90015-3010 Ph: (213) 748-2411

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Los Angeles, CA

Mrs. Cathy Kiem Ngo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 San Pablo St, Los Angeles, CA 90033 Phone: 323-442-7400
Cynthia L Plehn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4733 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-783-4011
Mrs. Sara Rondinone Shive, RN, BSN, CRNA, MS Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1500 San Pablo St, Los Angeles, CA 90033 Phone: 323-442-7400 Fax: 323-442-7411
Brandon Lee, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1401 S Grand Ave, Los Angeles, CA 90015 Phone: 213-748-2411
Brooke A Knapp, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-2000
Mrs. Dina Marie Hunt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 San Pablo St, Los Angeles, CA 90033 Phone: 323-442-7400
Tahira Ayanna Smith-aifesehi, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1200 N State St, Los Angeles, CA 90033 Phone: 323-226-2622

Miss Ivy L Kasallis, RN, MSN - Medicare Certified Registered Nurse Anesthetist (crna) in Los Angeles, CA