Mr Kelly Shaun Simpson, CRNA in Tacoma, WA - Medicare Nurse Anesthetist, Certified Registered

Mr Kelly Shaun Simpson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tacoma, Washington. His current practice location is Madigan Army Medical Center Attn: Credentials Office, 9040 Jackson Ave, Tacoma, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 969-2252.

Mr Kelly Shaun Simpson is licensed to practice in Ohio (license number RN309540) 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 1497732903.

Contact Information

	Mr Kelly Shaun Simpson, CRNA
	Madigan Army Medical Center Attn: Credentials Office, 9040 Jackson Ave, Tacoma, WA 98431
	(253) 969-2252
	(235) 968-3278

Map and Direction

Provider's Profile

Full Name	Mr Kelly Shaun Simpson
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	Madigan Army Medical Center Attn: Credentials Office, Tacoma, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497732903
Provider Enumeration Date: 12/27/2005
Last Update Date: 05/16/2019

Medicare PECOS Information:

PECOS PAC ID: 8729001128
Enrollment ID: I20230426001965

Medical Identifiers

Medical identifiers for Mr Kelly Shaun Simpson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497732903	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN309540 (Ohio)	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. Mr Kelly Shaun Simpson allows following entities to bill medicare on his behalf.

Entity Name	Columbia Anesthesia Group P S
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861448235 PECOS PAC ID: 8426954322 Enrollment ID: O20031211000035

Entity Name	Oregon Anesthesiology Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477527786 PECOS PAC ID: 3476451659 Enrollment ID: O20231116003035

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 Kelly Shaun Simpson 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 Kelly Shaun Simpson, CRNA 1642 Parkside Cir, Niceville, FL 32578-8706 Ph: (850) 830-5525	Mr Kelly Shaun Simpson, CRNA Madigan Army Medical Center Attn: Credentials Office, 9040 Jackson Ave, Tacoma, WA 98431 Ph: (253) 969-2252

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Tacoma, WA

Janet Jones Sims, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Madigan Army Medical Ctr 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2252
Michael John Means, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2235
Matthew Libid, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 203-768-5053
Mrs. Elizabeth Katherine Mary Pulatie, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9040 A Reid St, Tacoma, WA 98431 Phone: 253-968-1110
Ms. Lisa Ann Petty, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2252 Fax: 253-968-3278
Mr. Andrey Bobrovnikov, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1717 S J St, Tacoma, WA 98405 Phone: 253-426-6341 Fax: 253-426-6344
Craig Andrew Swank, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3209 S 23rd St, Suite 340, Tacoma, WA 98405 Phone: 253-503-2598 Fax: 253-404-0506

Mr Kelly Shaun Simpson, CRNA - Medicare Nurse Anesthetist, Certified Registered in Tacoma, WA