Mr Christopher Douglas Kyle, CRNA in Fairfax, VA - Medicare Nurse Anesthetist, Certified Registered

Mr Christopher Douglas Kyle, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fairfax, Virginia. His current practice location is 3600 Joseph Siewick Dr, Fairfax, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 664-7048.

Mr Christopher Douglas Kyle is licensed to practice in Virginia (license number 0024169251) 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 1598061053.

Contact Information

	Mr Christopher Douglas Kyle, CRNA
	3600 Joseph Siewick Dr, Fairfax, VA 22033-1709
	(703) 664-7048
	(703) 644-7402

Map and Direction

Provider's Profile

Full Name	Mr Christopher Douglas Kyle
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	3600 Joseph Siewick Dr, Fairfax, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598061053
Provider Enumeration Date: 02/01/2011
Last Update Date: 03/23/2015

Medicare PECOS Information:

PECOS PAC ID: 7214112853
Enrollment ID: I20110426000531

Medical Identifiers

Medical identifiers for Mr Christopher Douglas Kyle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598061053	NPI	-	NPPES
1598061053	Medicaid	VA
011150500	Medicaid	FL
4225490	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	0024169251 (Virginia)	Primary
367500000X	Nurse Anesthetist, Certified Registered	R191518 (Maryland)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	NA4420 (California)	Secondary

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. Mr Christopher Douglas Kyle allows following entities to bill medicare on his behalf.

Entity Name	American Anesthesiology Of Virginia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417994872 PECOS PAC ID: 6800790023 Enrollment ID: O20080812000606

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. Mr Christopher Douglas Kyle 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
Mr Christopher Douglas Kyle, CRNA 68 S Service Rd, Melville, NY 11747-2358 Ph: (516) 945-3000	Mr Christopher Douglas Kyle, CRNA 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 Ph: (703) 664-7048

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fairfax, VA

Melissa K Hersch, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-391-3129
Kaley Lanzetta, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-391-3129 Fax: 703-391-3006
Kelsey Schulman, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3998 Fair Ridge Dr, Suite 320, Fairfax, VA 22033 Phone: 703-295-9360 Fax: 703-295-9369
Mr. Ahmed Rauf Qureshi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3998 Fair Ridge Dr, Suite 320, Fairfax, VA 22033 Phone: 703-293-9590 Fax: 703-295-9369
Ms. Christine B Culhane, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-295-9360 Fax: 703-295-9369
Mr. Timothy J Rathbun, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-295-9360 Fax: 703-295-9369
Ms. Carmen Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-295-9360 Fax: 703-295-9369

Mr Christopher Douglas Kyle, CRNA - Medicare Nurse Anesthetist, Certified Registered in Fairfax, VA