Ralph L Luellen Iii, CRNA in Grants Pass, OR - Medicare Certified Registered Nurse Anesthetist (crna)

Ralph L Luellen Iii, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Grants Pass, Oregon. He graduated from nursing school in 2011 and has 14 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Community Medical Associates Inc and his current practice location is 500 Sw Ramsey Ave, Grants Pass, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 474-7000.

Ralph L Luellen Iii is licensed to practice in Oregon (license number 201402159CRNA) 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 1619272788.

Contact Information

	Ralph L Luellen Iii, CRNA
	500 Sw Ramsey Ave, Grants Pass, OR 97527-5554
	(541) 474-7000
	Not Available

Map and Direction

Provider's Profile

Full Name	Ralph L Luellen Iii
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	14 Years
Location	500 Sw Ramsey Ave, Grants Pass, Oregon
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:

Ralph L Luellen Iii graduated from nursing school in 2011

NPI Data:

NPI Number: 1619272788
Provider Enumeration Date: 01/20/2011
Last Update Date: 10/09/2025

Medicare PECOS Information:

PECOS PAC ID: 5395985774
Enrollment ID: I20220504001401

Medical Identifiers

Medical identifiers for Ralph L Luellen Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619272788	NPI	-	NPPES
7100818350	Medicaid	KY
300061265	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	AP60203707 (Washington)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	201402159CRNA (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
King's Daughters' Health	Madison, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Community Medical Associates Inc	7012811284	1310

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. Ralph L Luellen Iii allows following entities to bill medicare on his behalf.

Entity Name	Community Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588614994 PECOS PAC ID: 7012811284 Enrollment ID: O20040309000452

Entity Name	Norton - Kings Daughters Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114955093 PECOS PAC ID: 9739089319 Enrollment ID: O20040520001611

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. Ralph L Luellen Iii 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
Ralph L Luellen Iii, CRNA 1373 E State Road 62, Madison, IN 47250-7328 Ph: (812) 801-0609	Ralph L Luellen Iii, CRNA 500 Sw Ramsey Ave, Grants Pass, OR 97527-5554 Ph: (541) 474-7000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Grants Pass, OR

Thomas R Leblanc, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 500 Sw Ramsey, Grants Pass, OR 97527 Phone: 541-472-7000
Scott W Rigdon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-472-7000
Matthew Allyn Fagert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-472-7000
Jamey L Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-472-5110 Fax: 541-472-7268
Mr. Ronald Shenker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1601 Nw Hawthorne Ave, Grants Pass, OR 97526 Phone: 541-472-4884
Keith Andrew Jensen, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 500 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-472-7000
Nathan R Broadbent, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-472-7267 Fax: 812-237-0182

Ralph L Luellen Iii, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Grants Pass, OR