Mr Timothy Kelley, CRNA in Memphis, TN - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Timothy Kelley, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Memphis, Tennessee. He graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Ut Regional One Physicians Inc, University Of Pittsburgh Physicians, Southeast Missouri Hospital Physicians Llc and his current practice location is 877 Jefferson Ave, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 448-5893.

Mr Timothy Kelley is licensed to practice in Tennessee (license number 10994) 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 1376501395.

Contact Information

	Mr Timothy Kelley, CRNA
	877 Jefferson Ave, Memphis, TN 38103-2807
	(901) 448-5893
	(901) 448-5540

Map and Direction

Provider's Profile

Full Name	Mr Timothy Kelley
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	21 Years
Location	877 Jefferson Ave, Memphis, Tennessee
Accepts Medicare Assignments	Yes. 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 Timothy Kelley graduated from nursing school in 2003

NPI Data:

NPI Number: 1376501395
Provider Enumeration Date: 05/01/2006
Last Update Date: 06/30/2016

Medicare PECOS Information:

PECOS PAC ID: 0143214254
Enrollment ID: I20040412001549

Medical Identifiers

Medical identifiers for Mr Timothy Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376501395	NPI	-	NPPES
3628056	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	10994 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Southeasthealth	Cape girardeau, MO	Hospital
Upmc Mercy	Pittsburgh, PA	Hospital
Regional One Health	Memphis, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ut Regional One Physicians Inc	5698993418	270
University Of Pittsburgh Physicians	8729990239	3721
Southeast Missouri Hospital Physicians Llc	9133024334	186

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 Timothy Kelley allows following entities to bill medicare on his behalf.

Entity Name	East Memphis Anesthesia Services Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578592663 PECOS PAC ID: 1850386038 Enrollment ID: O20040416001400

Entity Name	Lifelinc Anesthesia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801021464 PECOS PAC ID: 0941347447 Enrollment ID: O20091231000232

Entity Name	Ut Regional One Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093130585 PECOS PAC ID: 5698993418 Enrollment ID: O20140820000662

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 Timothy Kelley 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 Timothy Kelley, CRNA 877 Jefferson Ave, Attn: Provider Enrollment, Memphis, TN 38103-2807 Ph: () -	Mr Timothy Kelley, CRNA 877 Jefferson Ave, Memphis, TN 38103-2807 Ph: (901) 448-5893

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Memphis, TN

Tara Orr, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1068 Cresthaven Rd, Suite 150, Memphis, TN 38119 Phone: 901-682-2872
Michael Fisher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1265 Union Ave, Memphis, TN 38104 Phone: 901-725-5846
Jessica Doran, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 877 Jefferson Ave, Memphis, TN 38103 Phone: 901-448-5893 Fax: 901-448-5893
Carman Hamm, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1755 Kirby Pkwy, Memphis, TN 38120 Phone: 901-725-5846 Fax: 901-726-4827
Kathleen B Weiman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 825 Ridge Lake Blvd, Memphis, TN 38120 Phone: 901-685-6150 Fax: 901-685-6454
Janet Laughlin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6485 Poplar Ave, Memphis, TN 38119 Phone: 901-767-4014
Jennifer Williams, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1755 Kirby Pkwy, Memphis, TN 38120 Phone: 901-725-5846 Fax: 901-726-4827

Mr Timothy Kelley, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Memphis, TN