Alysann Rutan, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Dallas, Texas. Her current practice location is
5200 Harry Hines Blvd, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at
(214) 590-8000.
Alysann Rutan is licensed to practice in Texas (license number 1095389) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1831810241.
Physician's Profile
Full Name | Alysann Rutan |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 5200 Harry Hines Blvd, Dallas, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1831810241
- Provider Enumeration Date: 09/06/2022
- Last Update Date: 03/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 3577936509
- Enrollment ID: I20230222001489
Medical Identifiers
Medical identifiers for Alysann Rutan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831810241 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 138903 (Texas) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 1095389 (Texas) | 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. Alysann Rutan allows following entities to bill medicare on her behalf.
Entity Name | Dallas County Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831198506 PECOS PAC ID: 8325934813 Enrollment ID: O20040315000583 |
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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. Alysann Rutan 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 Address | Practice Location Address |
Alysann Rutan, CRNA 221 Berkeley Dr, Waxahachie, TX 75167-1210 Ph: (214) 399-6755 | Alysann Rutan, CRNA 5200 Harry Hines Blvd, Dallas, TX 75235-7709 Ph: (214) 590-8000 |
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