Mr Michael Edward Killen, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Vicksburg, MS

Mr Michael Edward Killen, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Vicksburg, Mississippi. He graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Lifelinc Anesthesia Pllc and his current practice location is 2100 Highway 61 N, Vicksburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 883-5707.

Mr Michael Edward Killen is licensed to practice in Mississippi (license number R864279) 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 1306023270.

Contact Information

Mr Michael Edward Killen, CRNA
2100 Highway 61 N,
Vicksburg, MS 39183-8211
(601) 883-5707
Not Available



Provider's Profile

Full NameMr Michael Edward Killen
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience17 Years
Location2100 Highway 61 N, Vicksburg, Mississippi
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:
  • Mr Michael Edward Killen graduated from nursing school in 2007
  NPI Data:
  • NPI Number: 1306023270
  • Provider Enumeration Date: 01/23/2008
  • Last Update Date: 08/25/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7517036700
  • Enrollment ID: I20080514000094

Medical Identifiers

Medical identifiers for Mr Michael Edward Killen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306023270NPI-NPPES
08632573MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered R864279 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Merit Health WesleyHattiesburg, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lifelinc Anesthesia Pllc0941347447144

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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. Mr Michael Edward Killen allows following entities to bill medicare on his behalf.
Entity NameHattiesburg Clinic Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740213446
PECOS PAC ID: 5193706794
Enrollment ID: O20040528000685

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Entity NameLifelinc Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801021464
PECOS PAC ID: 0941347447
Enrollment ID: O20130522000277

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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. Mr Michael Edward Killen 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
Mr Michael Edward Killen, CRNA
2100 Highway 61 N,
Vicksburg, MS 39183-8211

Ph: (601) 883-5707
Mr Michael Edward Killen, CRNA
2100 Highway 61 N,
Vicksburg, MS 39183-8211

Ph: (601) 883-5707

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Nurse Anesthetist, Certified Registered Nurses in Vicksburg, MS

Mr. Michael J Mcreynolds, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183
Phone: 601-831-1146    
Richard M Stone Jr., CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183
Phone: 601-883-5000    
Christopher Sumrall,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183
Phone: 601-218-6136    
Melanie Joan Waldrop, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Hwy 61n, River Region Medical Center, Vicksburg, MS 39183
Phone: 601-883-5000    
Mr. Channon Lee Pruitt, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183
Phone: 601-883-5000    
Jackie L Benson, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183
Phone: 601-883-5000    

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