Benjamin James Dehaan, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Cadillac, Michigan. His current practice location is
400 Hobart St, Cadillac, Michigan. You can reach out to his office (for appointments etc.) via phone at
(231) 876-7301.
Benjamin James Dehaan is licensed to practice in Michigan (license number 1700540663) 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 1700540663.
Provider's Profile
| Full Name | Benjamin James Dehaan |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 400 Hobart St, Cadillac, Michigan |
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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: 1700540663
- Provider Enumeration Date: 10/27/2021
- Last Update Date: 06/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 0941673073
- Enrollment ID: I20230310000527
Medical Identifiers
Medical identifiers for Benjamin James Dehaan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700540663 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 203406 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 1700540663 (Michigan) | 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. Benjamin James Dehaan allows following entities to bill medicare on his behalf.
| Entity Name | Munson Healthcare Cadillac |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871991596
PECOS PAC ID: 6305161514
Enrollment ID: O20150327000436 |
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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. Benjamin James Dehaan 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 |
|---|
Benjamin James Dehaan, CRNA
1105 Sixth St,
Traverse City, MI 49684-2345
Ph: (231) 935-5000 | Benjamin James Dehaan, CRNA
400 Hobart St,
Cadillac, MI 49601-2331
Ph: (231) 876-7301 |
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