Keith Maxwell Bull, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Farmington, NM

Keith Maxwell Bull, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Farmington, New Mexico. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Four Corners Anesthesia, P.a. and his current practice location is 2300 E 30th St, Building A, Farmington, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 326-6400.

Keith Maxwell Bull is licensed to practice in Nebraska (license number 101335) 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 1851751432.

Contact Information

Keith Maxwell Bull, CRNA
2300 E 30th St, Building A,
Farmington, NM 87401-8990
(505) 326-6400
Not Available



Provider's Profile

Full NameKeith Maxwell Bull
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience9 Years
Location2300 E 30th St, Farmington, New Mexico
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 Maxwell Bull graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1851751432
  • Provider Enumeration Date: 02/25/2016
  • Last Update Date: 04/27/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 9739470188
  • Enrollment ID: I20160615001965

Medical Identifiers

Medical identifiers for Keith Maxwell Bull such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851751432NPI-NPPES
140943MedicaidAZ
55278710MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 101335 (Nebraska)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Four Corners Anesthesia, P.a.66087629508

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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 Maxwell Bull allows following entities to bill medicare on his behalf.
Entity NameFour Corners Anesthesia, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093758831
PECOS PAC ID: 6608762950
Enrollment ID: O20040224001194

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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 Maxwell Bull 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 Maxwell Bull, CRNA
1515 E 20th St, Suite A,
Farmington, NM 87401-9039

Ph: (505) 326-6400
Keith Maxwell Bull, CRNA
2300 E 30th St, Building A,
Farmington, NM 87401-8990

Ph: (505) 326-6400

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Nurse Anesthetist, Certified Registered Nurses in Farmington, NM

Christopher Gary Reitmeier, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 801 W Maple St, Farmington, NM 87401
Phone: 505-609-2000    Fax: 505-609-2259
Barbara S Kamps, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 950 W Pinon, Farmington, NM 87401
Phone: 505-427-1794    Fax: 505-327-5355
Daniel Herring,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 801 W Maple St, Farmington, NM 87401
Phone: 505-609-2000    
Tyler Marshall, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 801 W Maple St, Farmington, NM 87401
Phone: 505-609-6648    Fax: 505-609-2259
Laura Chase, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 801 W Maple St, Farmington, NM 87401
Phone: 505-609-2000    
Adam Russell Penrose, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 801 W Maple St, Farmington, NM 87401
Phone: 505-609-2000    
James L Thurston, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 801 W Maple St, Farmington, NM 87401
Phone: 505-419-4365    

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