Keith D Tyer, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Bossier City, LA

Keith D Tyer, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Bossier City, Louisiana. He graduated from nursing school in 1986 and has 38 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Novus Louisiana Medical Professional Corporation, Medical Center Anesthesiologists and his current practice location is 2400 Hospital Dr, Bossier City, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 212-7000.

Keith D Tyer is licensed to practice in Louisiana (license number RN045473APO1843) 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 1922105949.

Contact Information

Keith D Tyer, CRNA
2400 Hospital Dr,
Bossier City, LA 71111-2385
(318) 212-7000
Not Available



Provider's Profile

Full NameKeith D Tyer
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience38 Years
Location2400 Hospital Dr, Bossier City, Louisiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Keith D Tyer graduated from nursing school in 1986
  NPI Data:
  • NPI Number: 1922105949
  • Provider Enumeration Date: 09/20/2006
  • Last Update Date: 08/05/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 3173711009
  • Enrollment ID: I20101220000696

Medical Identifiers

Medical identifiers for Keith D Tyer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922105949NPI-NPPES
1533599MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN045473APO1843 (Louisiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Specialists Hospital ShreveportShreveport, LAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Novus Louisiana Medical Professional Corporation539519488019
Medical Center Anesthesiologists660881484331

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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. Keith D Tyer allows following entities to bill medicare on his behalf.
Entity NameWillis Knighton Medical Center Inc Crna Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174546097
PECOS PAC ID: 1759358674
Enrollment ID: O20040910001124

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Entity NameMedical Center Anesthesiologists
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669469748
PECOS PAC ID: 6608814843
Enrollment ID: O20050419001114

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Entity NameNovus Louisiana Medical Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336926872
PECOS PAC ID: 5395194880
Enrollment ID: O20231208002673

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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. Keith D Tyer 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
Keith D Tyer, CRNA
406 Parklane Dr,
Bossier City, LA 71111-2216

Ph: (318) 747-4244
Keith D Tyer, CRNA
2400 Hospital Dr,
Bossier City, LA 71111-2385

Ph: (318) 212-7000

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Nurse Anesthetist, Certified Registered Nurses in Bossier City, LA

Monica N Collinsworth, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2400 Hospital Dr, Bossier City, LA 71111
Phone: 318-212-7000    
Farrah Lee Baker, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2400 Hospital Dr, Bossier City, LA 71111
Phone: 318-212-7000    
Dr. Colton Sedberry, DNP-A, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 3418 Grand Bayou Dr, Bossier City, LA 71111
Phone: 318-210-8173    
Larissa S Koll, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2400 Hospital Dr, Bossier City, LA 71111
Phone: 318-212-7000    
Mr. Jon Patrick Jeffcoat, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2105 Airline Dr, Bossier City, LA 71111
Phone: 318-549-2011    
Mr. Creighton K Cathey, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 603 Fall Winds Cir, Bossier City, LA 71111
Phone: 318-230-3000    
Dr. Jarred Dewayne Sepulvado, DNP, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 605 Tunica Trl, Bossier City, LA 71111
Phone: 318-780-0329    

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