Andrew Dimmen, CRNA in Pueblo, CO - Medicare Nurse Anesthetist, Certified Registered

Andrew Dimmen, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Pueblo, Colorado. His current practice location is 400 W 16th St, Pueblo, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 584-4000.

Andrew Dimmen is licensed to practice in Colorado (license number 0997628-CRNA) 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 1467196469.

Contact Information

	Andrew Dimmen, CRNA
	400 W 16th St, Pueblo, CO 81003-2781
	(719) 584-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Andrew Dimmen
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	400 W 16th St, Pueblo, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467196469
Provider Enumeration Date: 04/25/2022
Last Update Date: 06/14/2022

Medicare PECOS Information:

PECOS PAC ID: 2264814094
Enrollment ID: I20220726003646

Medical Identifiers

Medical identifiers for Andrew Dimmen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467196469	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	1621817 (Colorado)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	0997628-CRNA (Colorado)	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. Andrew Dimmen allows following entities to bill medicare on his behalf.

Entity Name	Parkview Ancillary Services Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982878765 PECOS PAC ID: 4385722511 Enrollment ID: O20080429000248

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. Andrew Dimmen 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
Andrew Dimmen, CRNA 4735 Jamestown Dr, Colorado Springs, CO 80918-2725 Ph: (719) 213-1389	Andrew Dimmen, CRNA 400 W 16th St, Pueblo, CO 81003-2781 Ph: (719) 584-4000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Pueblo, CO

Lara Kjurston Knowles, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 W 16th St, Pueblo, CO 81003 Phone: 719-584-4000
Malena Calle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 W 16th St, Pueblo, CO 81003 Phone: 719-584-7305
Michael R. Herron, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1008 Minnequa Ave, Pueblo, CO 81004 Phone: 719-560-5717
Elizabeth Dias Morphis, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 W 16th St, Pueblo, CO 81003 Phone: 719-584-4000
Mr. James Guzan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 112 W D St, Suite 210a, Pueblo, CO 81003 Phone: 330-442-3547
Mr. Kristopher A. Black, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1008 Minnequa Ave, Or/anesthesiology, Pueblo, CO 81004 Phone: 719-557-3824 Fax: 719-557-3834
Timothy Floyd, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 400 W 16th St, Pueblo, CO 81003 Phone: 719-584-4000

Andrew Dimmen, CRNA - Medicare Nurse Anesthetist, Certified Registered in Pueblo, CO