Bethany Wooten, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Los Alamos, New Mexico. She graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Pueblo Anesthesia And Pain Services and her current practice location is
3917 West Rd, Los Alamos, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(573) 686-5550.
Bethany Wooten is licensed to practice in Missouri (license number 2015013955) 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 1447645379.
Provider's Profile
Full Name | Bethany Wooten |
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Gender | Female |
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Speciality | Certified Registered Nurse Anesthetist (crna) |
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Experience | 10 Years |
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Location | 3917 West Rd, Los Alamos, New Mexico |
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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:
- Bethany Wooten graduated from nursing school in 2015
NPI Data:
- NPI Number: 1447645379
- Provider Enumeration Date: 03/30/2015
- Last Update Date: 01/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 8921329723
- Enrollment ID: I20160223000474
Medical Identifiers
Medical identifiers for Bethany Wooten such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447645379 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 2015013955 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Pueblo Anesthesia And Pain Services | 0042301707 | 4 |
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. Bethany Wooten allows following entities to bill medicare on her behalf.
Entity Name | Pueblo Anesthesia & Pain Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831305036 PECOS PAC ID: 0042301707 Enrollment ID: O20070809000387 |
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Entity Name | Main Street Anesthesia Of New Mexico, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275010985 PECOS PAC ID: 3476807538 Enrollment ID: O20181108002622 |
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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. Bethany Wooten 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 |
Bethany Wooten, 860 Aster St, Los Alamos, NM 87547-3869 Ph: (573) 686-5550 | Bethany Wooten, 3917 West Rd, Los Alamos, NM 87544-2275 Ph: (573) 686-5550 |
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