Charles M Hagedorn, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Falls City, Nebraska. His current practice location is
2307 Barada St, Cmc, Falls City, Nebraska. You can reach out to his office (for appointments etc.) via phone at
(402) 245-2428.
Charles M Hagedorn is licensed to practice in Nebraska (license number 100561) 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 1144280470.
Provider's Profile
| Full Name | Charles M Hagedorn |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 2307 Barada St, Falls City, Nebraska |
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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: 1144280470
- Provider Enumeration Date: 03/23/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6002880374
- Enrollment ID: I20040823000835
Medical Identifiers
Medical identifiers for Charles M Hagedorn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1144280470 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 100561 (Nebraska) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 55374 (Kansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | R00081612 (Oklahoma) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | R022529 (South Dakota) | Secondary |
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. Charles M Hagedorn allows following entities to bill medicare on his behalf.
| Entity Name | Community Medical Center, Inc |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1881643484
PECOS PAC ID: 6608776943
Enrollment ID: O20061222000136 |
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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. Charles M Hagedorn 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 |
|---|
Charles M Hagedorn, CRNA
924 Patricia Drive,
Falls City, NE 68355
Ph: (402) 245-2980 | Charles M Hagedorn, CRNA
2307 Barada St, Cmc,
Falls City, NE 68355
Ph: (402) 245-2428 |
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