Kenneth Wilson Backstrand, MD - Medicare Anesthesiology in Cape Coral, FL

Kenneth Wilson Backstrand, MD is a medicare enrolled "Anesthesiology - Pain Medicine" physician in Cape Coral, Florida. His current practice location is 2721 Del Prado Blvd S, Cape Coral, Florida. You can reach out to his office (for appointments etc.) via phone at (239) 242-8010.

Kenneth Wilson Backstrand is licensed to practice in Florida (license number ME50622) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114915477.

Contact Information

Kenneth Wilson Backstrand, MD
2721 Del Prado Blvd S,
Cape Coral, FL 33904-5781
(239) 242-8010
(239) 242-8020



Physician's Profile

Full NameKenneth Wilson Backstrand
GenderMale
SpecialityAnesthesiology - Pain Medicine
Location2721 Del Prado Blvd S, Cape Coral, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114915477
  • Provider Enumeration Date: 10/11/2005
  • Last Update Date: 03/08/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0042282824
  • Enrollment ID: I20110615000714

Medical Identifiers

Medical identifiers for Kenneth Wilson Backstrand such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114915477NPI-NPPES
046206300MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology ME0050622 (Florida)Secondary
207LP2900XAnesthesiology - Pain Medicine ME50622 (Florida)Primary

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. Kenneth Wilson Backstrand allows following entities to bill medicare on his behalf.
Entity NameMoonlight Anesthesia, P.l.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033419791
PECOS PAC ID: 0547442758
Enrollment ID: O20110309000707

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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. Kenneth Wilson Backstrand 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
Kenneth Wilson Backstrand, MD
40 Barkley Cir Ste 3,
Fort Myers, FL 33907-4518

Ph: (239) 226-0910
Kenneth Wilson Backstrand, MD
2721 Del Prado Blvd S,
Cape Coral, FL 33904-5781

Ph: (239) 242-8010

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Anesthesiology Doctors in Cape Coral, FL

Dr. John T Patrick, MD, ANESTESIOLOGIST
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 4120 Del Prado Blvd S, Cape Coral, FL 33904
Phone: 239-542-2020    Fax: 239-541-1492
Dr. Jules Alva Preudhomme, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1228 Se 8th Ter, Cape Coral, FL 33990
Phone: 239-945-1105    Fax: 239-945-4495
Remone Tharwat Yousif, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 650 Del Prado Blvd S Ste 106, Cape Coral, FL 33990
Phone: 239-424-3492    Fax: 239-424-4030

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