Alexander Scott Knudsen, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Park City, Utah. His current practice location is
7506 Tall Oaks Dr, Park City, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 729-0202.
Alexander Scott Knudsen is licensed to practice in Utah (license number 7437932-4406) 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 1801299169.
Provider's Profile
| Full Name | Alexander Scott Knudsen |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 7506 Tall Oaks Dr, Park City, Utah |
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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: 1801299169
- Provider Enumeration Date: 10/01/2014
- Last Update Date: 01/05/2016
Medicare PECOS Information:
- PECOS PAC ID: 1254654163
- Enrollment ID: I20160321000877
Medical Identifiers
Medical identifiers for Alexander Scott Knudsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1801299169 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 0024172118 (Virginia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 7437932-4406 (Utah) | 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. Alexander Scott Knudsen allows following entities to bill medicare on his behalf.
| Entity Name | Desert Peak Anesthesia, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518972280
PECOS PAC ID: 6002884996
Enrollment ID: O20040920000002 |
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| Entity Name | Aspen Anesthesia Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568735918
PECOS PAC ID: 8921306176
Enrollment ID: O20160421000534 |
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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. Alexander Scott Knudsen 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 |
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Alexander Scott Knudsen, CRNA
7506 Tall Oaks Dr,
Park City, UT 84098-5362
Ph: (435) 729-0202 | Alexander Scott Knudsen, CRNA
7506 Tall Oaks Dr,
Park City, UT 84098-5362
Ph: (435) 729-0202 |
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