Brad Dershem, CRNA - Medicare Nurse Anesthetist, Certified Registered in Boston, MA

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Brad Dershem, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Boston, Massachusetts. His current practice location is 540 Massachusetts Ave, Apt 1, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (773) 288-9440.

Brad Dershem is licensed to practice in New York (license number 654839) 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 1801146451.

Contact Information

Brad Dershem, CRNA
540 Massachusetts Ave, Apt 1,
Boston, MA 02118-1402
(773) 288-9440
Not Available

Map and Direction




Provider's Profile

Full NameBrad Dershem
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location540 Massachusetts Ave, Boston, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1801146451
  • Provider Enumeration Date: 09/11/2012
  • Last Update Date: 11/14/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6608027693
  • Enrollment ID: I20130417000511

Medical Identifiers

Medical identifiers for Brad Dershem such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801146451NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN2283514 (Massachusetts)Secondary
367500000XNurse Anesthetist, Certified Registered 192547-30 (Wisconsin)Secondary
367500000XNurse Anesthetist, Certified Registered 654839 (New York)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. Brad Dershem allows following entities to bill medicare on his behalf.
Entity NameAnaesthesia Associates Of Massachusetts, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568415289
PECOS PAC ID: 5193611267
Enrollment ID: O20040225000842
Entity NamePratt Anesthesiology Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326085390
PECOS PAC ID: 0547151151
Enrollment ID: O20040323001056
Entity NameLawrence Anesthesia Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467699918
PECOS PAC ID: 4082770136
Enrollment ID: O20090225000707
Entity NameCommunity Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114257136
PECOS PAC ID: 9537283817
Enrollment ID: O20100824001034
Entity NameAssociated Physicians Of Harvard Medical Faculty Physicians At Beth Is
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1245773308
PECOS PAC ID: 6305749987
Enrollment ID: O20170628003015
Entity NameNorth American Partners In Anesthesia Massachusetts Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457867020
PECOS PAC ID: 8820350713
Enrollment ID: O20180312001704

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. Brad Dershem 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 AddressPractice Location Address
Brad Dershem, CRNA
398 Columbus Ave, Pmb79,
Boston, MA 02116-6008

Ph: (773) 288-9440		Brad Dershem, CRNA
540 Massachusetts Ave, Apt 1,
Boston, MA 02118-1402

Ph: (773) 288-9440

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Boston, MA

Mr. John Crawford Welch, CRNA
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Practice Location: 300 Longwood Ave, Bader 3- Anesthesia, Boston, MA 02115
Phone: 857-218-5770    
Sophia N. Townsend, CRNA
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Practice Location: 1 Boston Medical Ctr Pl, Boston, MA 02118
Phone: 617-638-6950    Fax: 617-638-6966
Lorrie-jeanne Campbell, CRNA
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Medicare: Accepting Medicare Assignments
Practice Location: 330 Brookline Ave, Dept. Of Anesthesia, Boston, MA 02215
Phone: 617-667-3110    Fax: 617-667-5013
Colleen Mcartor, CRNA
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Medicare: Accepting Medicare Assignments
Practice Location: 750 Washington St, Nemc Box #7105, Boston, MA 02111
Phone: 617-636-5000    
Ms. Ann Marie Nichols-stout, CRNA
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Medicare: Not Enrolled in Medicare
Practice Location: 55 Fruit St, Massachusetts General Hospital, Boston, MA 02114
Phone: 617-726-8995    
Susan Maher, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 55 Fruit Street, Cln 309 Mgh Anesthesia Associates, Boston, MA 02114
Phone: 617-726-3030    
Amy T. Moor, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1 Boston Medical Ctr Pl, Boston, MA 02118
Phone: 617-638-6950    Fax: 617-638-6966

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.