Randall Kinietz, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Grove City, Ohio. He graduated from nursing school in 2024 and has 1 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Premier Anesthesia Of Ohio Llc and his current practice location is
5300 N Meadows Dr, Grove City, Ohio. You can reach out to his office (for appointments etc.) via phone at
(614) 663-5000.
Randall Kinietz is licensed to practice in Ohio (license number APRN.CRNA.0021059) 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 1700639457.
Provider's Profile
| Full Name | Randall Kinietz |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 1 Years |
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| Location | 5300 N Meadows Dr, Grove City, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Randall Kinietz graduated from nursing school in 2024
NPI Data:
- NPI Number: 1700639457
- Provider Enumeration Date: 04/10/2024
- Last Update Date: 07/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 7214469907
- Enrollment ID: I20241018003126
Medical Identifiers
Medical identifiers for Randall Kinietz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1700639457 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | APRN.CRNA.0021059 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Premier Anesthesia Of Ohio Llc | 3779714258 | 111 |
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. Randall Kinietz allows following entities to bill medicare on his behalf.
| Entity Name | Premier Anesthesia Of Ohio Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699196022
PECOS PAC ID: 3779714258
Enrollment ID: O20140326001267 |
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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. Randall Kinietz 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 |
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Randall Kinietz,
2010 Reilly Run Unit L,
Grove City, OH 43123-9013
Ph: (740) 919-9234 | Randall Kinietz,
5300 N Meadows Dr,
Grove City, OH 43123-2546
Ph: (614) 663-5000 |
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