Keith Rackley, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Champions Gate, FL

Keith Rackley, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Champions Gate, Florida. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Emergenchealth Pllc and his current practice location is 8390 Champions Gate Blvd Ste 215, Champions Gate, Florida. You can reach out to his office (for appointments etc.) via phone at (407) 390-1677.

Keith Rackley is licensed to practice in Florida (license number ARNP9360027) 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 1942759428.

Contact Information

Keith Rackley, CRNA
8390 Champions Gate Blvd Ste 215,
Champions Gate, FL 33896-8310
(407) 390-1677
(407) 390-1765



Provider's Profile

Full NameKeith Rackley
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience8 Years
Location8390 Champions Gate Blvd Ste 215, Champions Gate, Florida
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 Rackley graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1942759428
  • Provider Enumeration Date: 09/26/2016
  • Last Update Date: 09/26/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4981983038
  • Enrollment ID: I20201014001748

Medical Identifiers

Medical identifiers for Keith Rackley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942759428NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered ARNP9360027 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Emergenchealth Pllc1355606641585

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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 Rackley allows following entities to bill medicare on his behalf.
Entity NameEmergenchealth Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467970897
PECOS PAC ID: 1355606641
Enrollment ID: O20180608000439

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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 Rackley 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 Rackley, CRNA
8390 Champions Gate Blvd Ste 215,
Champions Gate, FL 33896-8310

Ph: (407) 390-1677
Keith Rackley, CRNA
8390 Champions Gate Blvd Ste 215,
Champions Gate, FL 33896-8310

Ph: (407) 390-1677

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Nurse Anesthetist, Certified Registered Nurses in Champions Gate, FL


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