Annette S Proctor, CRNA in Tooele, UT - Medicare Certified Registered Nurse Anesthetist (crna)

Annette S Proctor, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tooele, Utah. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Desert Peak Anesthesia, Llc and her current practice location is 2055 N Main St, Tooele, Utah. You can reach out to her office (for appointments etc.) via phone at (435) 843-3600.

Annette S Proctor is licensed to practice in Minnesota (license number R158002-4) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1518931344.

Contact Information

	Annette S Proctor, CRNA
	2055 N Main St, Tooele, UT 84074
	(435) 843-3600
	Not Available

Map and Direction

Provider's Profile

Full Name	Annette S Proctor
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	19 Years
Location	2055 N Main St, Tooele, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Annette S Proctor graduated from nursing school in 2005

NPI Data:

NPI Number: 1518931344
Provider Enumeration Date: 02/16/2006
Last Update Date: 03/02/2009

Medicare PECOS Information:

PECOS PAC ID: 7315987369
Enrollment ID: I20070905000307

Medical Identifiers

Medical identifiers for Annette S Proctor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518931344	NPI	-	NPPES
413162200	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	R158002-4 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mountain West Medical Center	Tooele, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Desert Peak Anesthesia, Llc	6002884996	8

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. Annette S Proctor allows following entities to bill medicare on her behalf.

Entity Name	Desert Peak Anesthesia, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518972280 PECOS PAC ID: 6002884996 Enrollment ID: O20040920000002

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. Annette S Proctor 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
Annette S Proctor, CRNA Po Box 268, Bountiful, UT 84011-0268 Ph: (801) 296-2113	Annette S Proctor, CRNA 2055 N Main St, Tooele, UT 84074 Ph: (435) 843-3600

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Tooele, UT

Matthew A. Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2055 N Main St., Tooele, UT 84074 Phone: 435-843-3600
Robin B. Bradshaw, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2055 N Main St, Tooele, UT 84074 Phone: 435-843-3600
Evie Anna Purdom, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2055 N Main St, Tooele, UT 84074 Phone: 435-843-3600
Christopher David Smith, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2055 N Main St, Tooele, UT 84074 Phone: 435-843-8543
Mr. Kyle H Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2055 N Main St, Tooele, UT 84074 Phone: 435-843-3600
Mark E Wilson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2055 N Main St, Tooele, UT 84074 Phone: 435-843-3600

Annette S Proctor, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Tooele, UT