Mr Kenneth Dewey Childers Jr, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in San Francisco, CA

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Mr Kenneth Dewey Childers Jr, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in San Francisco, California. He graduated from nursing school in 2010 and has 16 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice In Somno Securitas A Professional Nursing Corporation, Mountain Communities Healthcare District and his current practice location is 99 W Portal Ave, San Francisco, California. You can reach out to his office (for appointments etc.) via phone at (600) 641-5661.

Mr Kenneth Dewey Childers Jr is licensed to practice in California (license number 585519) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1386937993.

Contact Information

Mr Kenneth Dewey Childers Jr, CRNA
99 W Portal Ave,
San Francisco, CA 94127-1303
(600) 641-5661
Not Available

Map and Direction




Provider's Profile

Full NameMr Kenneth Dewey Childers Jr
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience16 Years
Location99 W Portal Ave, San Francisco, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Kenneth Dewey Childers Jr graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1386937993
  • Provider Enumeration Date: 05/16/2011
  • Last Update Date: 08/19/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8820260482
  • Enrollment ID: I20111004000738

Medical Identifiers

Medical identifiers for Mr Kenneth Dewey Childers Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386937993NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 585519 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
In Somno Securitas A Professional Nursing Corporation67092713565
Mountain Communities Healthcare District913322713525

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 Kenneth Dewey Childers Jr allows following entities to bill medicare on his behalf.
Entity NameLast Frontier Healthcare District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487669032
PECOS PAC ID: 2466447412
Enrollment ID: O20040419000563
Entity NameMayers Memorial Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912125667
PECOS PAC ID: 6305804196
Enrollment ID: O20041227000593
Entity NameMountain Communities Healthcare District
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1750462271
PECOS PAC ID: 9133227135
Enrollment ID: O20070613000851
Entity NameMountain Communities Healthcare District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407027568
PECOS PAC ID: 9133227135
Enrollment ID: O20160208000679
Entity NameAnesthesia Management Services Of California Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003458704
PECOS PAC ID: 0840626040
Enrollment ID: O20200206002375
Entity NameIn Somno Securitas A Professional Nursing Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114686631
PECOS PAC ID: 6709271356
Enrollment ID: O20220316003933

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 Kenneth Dewey Childers Jr 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 AddressPractice Location Address
Mr Kenneth Dewey Childers Jr, CRNA
1314 22nd Ave Unit 22070,
San Francisco, CA 94122-1650

Ph: (415) 290-1884		Mr Kenneth Dewey Childers Jr, CRNA
99 W Portal Ave,
San Francisco, CA 94127-1303

Ph: (600) 641-5661

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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