Ms Kyle Theresa Mcclintock, CRNA in Portland, ME - Medicare Certified Registered Nurse Anesthetist (crna)

Ms Kyle Theresa Mcclintock, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Portland, Maine. She graduated from nursing school in 2010 and has 16 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Mercy Hospital and her current practice location is 175 Fore River Pkwy, Portland, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 879-3000.

Ms Kyle Theresa Mcclintock is licensed to practice in Connecticut (license number 075000) 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 1053629857.

Contact Information

	Ms Kyle Theresa Mcclintock, CRNA
	175 Fore River Pkwy, Portland, ME 04102-2779
	(207) 879-3000
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Kyle Theresa Mcclintock
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	16 Years
Location	175 Fore River Pkwy, Portland, Maine
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:

Ms Kyle Theresa Mcclintock graduated from nursing school in 2010

NPI Data:

NPI Number: 1053629857
Provider Enumeration Date: 09/15/2010
Last Update Date: 02/27/2023

Medicare PECOS Information:

PECOS PAC ID: 7214119254
Enrollment ID: I20221107002926

Medical Identifiers

Medical identifiers for Ms Kyle Theresa Mcclintock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053629857	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN83171 (Maine)	Secondary
163W00000X	Registered Nurse	075000 (Connecticut)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	004584 (Connecticut)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	RNA223051 (Maine)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	075000 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northern Light Mercy Hospital	Portland, ME	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mercy Hospital	6103737812	300

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. Ms Kyle Theresa Mcclintock allows following entities to bill medicare on her behalf.

Entity Name	Mercy Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629078712 PECOS PAC ID: 6103737812 Enrollment ID: O20040217000943

Entity Name	St Marys Regional Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447226584 PECOS PAC ID: 0042107120 Enrollment ID: O20040303000236

Entity Name	Villi P Enders Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124260831 PECOS PAC ID: 7618025701 Enrollment ID: O20090429000303

Entity Name	Maine Anesthesia Partners Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265296651 PECOS PAC ID: 5597104596 Enrollment ID: O20240423001902

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. Ms Kyle Theresa Mcclintock 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
Ms Kyle Theresa Mcclintock, CRNA 29 Mary Ln, Cumberland Foreside, ME 04110-1442 Ph: (860) 280-5125	Ms Kyle Theresa Mcclintock, CRNA 175 Fore River Pkwy, Portland, ME 04102-2779 Ph: (207) 879-3000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Portland, ME

Kayla Lima, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-0111
Mr. Rex A Huber, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall Street, Portland, ME 04102 Phone: 207-662-2526 Fax: 207-662-6236
Heidi S Alpern, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 22 Bramhall St, Department Of Anesthesiology, Portland, ME 04102 Phone: 207-662-2526 Fax: 207-662-6236
Katherine Mercedes, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 144 State St, Portland, ME 04101 Phone: 207-879-3000
Ms. Kathryn L Lillie, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 144 State St, Anesthesiology, Portland, ME 04101 Phone: 207-553-6277
Jessica L Ray, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Dept Of Anesthesiology, Portland, ME 04102 Phone: 207-662-2526 Fax: 207-662-6236
Cole Barski, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 175 Fore River Pkwy, Portland, ME 04102 Phone: 207-879-3000

Ms Kyle Theresa Mcclintock, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Portland, ME