Alan R Garven, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Baraboo, Wisconsin. His current practice location is
707 14th St, Baraboo, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 356-1400.
Alan R Garven is licensed to practice in Wisconsin (license number 040994) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629050679.
Provider's Profile
| Full Name | Alan R Garven |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 707 14th St, Baraboo, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1629050679
- Provider Enumeration Date: 11/16/2005
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 9739073446
- Enrollment ID: I20040212000555
Medical Identifiers
Medical identifiers for Alan R Garven such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629050679 | NPI | - | NPPES |
| 1009390 | Other | WI | PHYS PLUS PROV # |
| 44324400 | Medicaid | WI | |
| 551896 | Other | WI | DEANCARE PROV # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 040994 (Wisconsin) | 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. Alan R Garven allows following entities to bill medicare on his behalf.
| Entity Name | St Joseph's Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104031798
PECOS PAC ID: 3971586439
Enrollment ID: O20040615000273 |
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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. Alan R Garven 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 |
|---|
Alan R Garven, CRNA
707 14th St,
Baraboo, WI 53913-1539
Ph: (608) 356-1400 | Alan R Garven, CRNA
707 14th St,
Baraboo, WI 53913-1539
Ph: (608) 356-1400 |
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