Beverly Joy La Madrid, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Beloit, Wisconsin. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Stateline Anesthesiologists Sc and her current practice location is
1969 W Hart Rd, Beloit, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 362-7444.
Beverly Joy La Madrid is licensed to practice in Maryland (license number R128766) 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 1962709683.
Provider's Profile
| Full Name | Beverly Joy La Madrid |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 14 Years |
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| Location | 1969 W Hart Rd, Beloit, Wisconsin |
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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. |
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Medical Education and Training:
- Beverly Joy La Madrid graduated from nursing school in 2010
NPI Data:
- NPI Number: 1962709683
- Provider Enumeration Date: 02/15/2011
- Last Update Date: 08/25/2020
Medicare PECOS Information:
- PECOS PAC ID: 4486830320
- Enrollment ID: I20130716000298
Medical Identifiers
Medical identifiers for Beverly Joy La Madrid such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962709683 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | R128766 (Maryland) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Stateline Anesthesiologists Sc | 1355353822 | 16 |
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. Beverly Joy La Madrid allows following entities to bill medicare on her behalf.
| Entity Name | Stateline Anesthesiologists Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316937519
PECOS PAC ID: 1355353822
Enrollment ID: O20060627000180 |
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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. Beverly Joy La Madrid 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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Beverly Joy La Madrid, CRNA
3005 S Riverside Dr Ste 206,
Beloit, WI 53511-1500
Ph: (608) 362-7444 | Beverly Joy La Madrid, CRNA
1969 W Hart Rd,
Beloit, WI 53511-2230
Ph: (608) 362-7444 |
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