Chandler Mardis Debardeleben, RN in Orlando, FL - Medicare Nurse Anesthetist, Certified Registered

Chandler Mardis Debardeleben, RN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Orlando, Florida. His current practice location is 62 Columbia St, Orlando, Florida. You can reach out to his office (for appointments etc.) via phone at (321) 214-4903.

Chandler Mardis Debardeleben is licensed to practice in Florida (license number APRN11026371) 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 1568041481.

Contact Information

	Chandler Mardis Debardeleben, RN
	62 Columbia St, Orlando, FL 32806-1115
	(321) 214-4903
	(321) 841-2196

Map and Direction

Provider's Profile

Full Name	Chandler Mardis Debardeleben
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	62 Columbia St, Orlando, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568041481
Provider Enumeration Date: 04/07/2021
Last Update Date: 06/22/2023

Medicare PECOS Information:

PECOS PAC ID: 9234598863
Enrollment ID: I20230629003199

Medical Identifiers

Medical identifiers for Chandler Mardis Debardeleben such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568041481	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	RN9467216 (Florida)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	APRN11026371 (Florida)	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. Chandler Mardis Debardeleben allows following entities to bill medicare on his behalf.

Entity Name	Orlando Health Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044

Entity Name	Anesthesia Physician Solutions Of North Florida Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164932901 PECOS PAC ID: 5597066001 Enrollment ID: O20151228002033

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. Chandler Mardis Debardeleben 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
Chandler Mardis Debardeleben, RN 62 Columbia St, Orlando, FL 32806-1115 Ph: (321) 214-4903	Chandler Mardis Debardeleben, RN 62 Columbia St, Orlando, FL 32806-1115 Ph: (321) 214-4903

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Orlando, FL

Danielle Larson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 E Rollins St, Orlando, FL 32803 Phone: 407-667-0444 Fax: 407-667-4338
Mary Amber Davis, RN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 27 Wintergreen Way, Orlando, FL 32825 Phone: 386-216-8994
Darmela Shannon Thornton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 E Rollins St, Orlando, FL 32803 Phone: 407-303-5600
Stacey L. Bettes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 225 E Robinson St, Suite 130, Orlando, FL 32801 Phone: 407-581-9180 Fax: 865-560-7066
Amanda Gabriele Hermida, RN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 52 W Underwood St, Orlando, FL 32806 Phone: 321-841-5111
Mr. Said Ricardo Acosta, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 13535 Nemours Pkwy, Orlando, FL 32827 Phone: 407-567-4000 Fax: 407-650-7124
William R Kogl, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 400 N Mills Ave, Orlando, FL 32803 Phone: 407-872-2244 Fax: 407-926-9173

Chandler Mardis Debardeleben, RN - Medicare Nurse Anesthetist, Certified Registered in Orlando, FL