Brian Everett Bendorf, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Excelsior Springs, Missouri. His current practice location is
1700 Rainbow Blvd, Excelsior Springs, Missouri. You can reach out to his office (for appointments etc.) via phone at
(816) 629-2704.
Brian Everett Bendorf is licensed to practice in Missouri (license number 2020016187) 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 1962842427.
Provider's Profile
| Full Name | Brian Everett Bendorf |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 1700 Rainbow Blvd, Excelsior Springs, Missouri |
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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: 1962842427
- Provider Enumeration Date: 06/28/2013
- Last Update Date: 01/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 4284877457
- Enrollment ID: I20201228001856
Medical Identifiers
Medical identifiers for Brian Everett Bendorf such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962842427 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 110659 (Kansas) | Secondary |
| 163W00000X | Registered Nurse | 2007034982 (Missouri) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 557179 (Kansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 2020016187 (Missouri) | 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. Brian Everett Bendorf allows following entities to bill medicare on his behalf.
| Entity Name | Hannibal Regional Healthcare System Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003956095
PECOS PAC ID: 1254236300
Enrollment ID: O20031203000229 |
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| Entity Name | Excelsior Springs City Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285733923
PECOS PAC ID: 7315847209
Enrollment ID: O20040108000958 |
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| Entity Name | The Curators Of The University Of Missouri |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235126921
PECOS PAC ID: 4486759560
Enrollment ID: O20070418000290 |
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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. Brian Everett Bendorf 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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Brian Everett Bendorf, CRNA
1700 Rainbow Blvd,
Excelsior Springs, MO 64024-1182
Ph: (816) 629-2704 | Brian Everett Bendorf, CRNA
1700 Rainbow Blvd,
Excelsior Springs, MO 64024-1182
Ph: (816) 629-2704 |
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