Dale Anderson Ii, in Fort Wayne, IN - Medicare Certified Registered Nurse Anesthetist (crna)

Dale Anderson Ii, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Wayne, Indiana. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Surgery One Anesthesia Llc and his current practice location is 5050 N Clinton St, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 484-8551.

Dale Anderson Ii is licensed to practice in Indiana (license number 28242030A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1750779591.

Contact Information

	Dale Anderson Ii,
	5050 N Clinton St, Fort Wayne, IN 46825-5886
	(260) 484-8551
	(260) 482-5060

Map and Direction

Provider's Profile

Full Name	Dale Anderson Ii
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	10 Years
Location	5050 N Clinton St, Fort Wayne, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dale Anderson Ii graduated from nursing school in 2014

NPI Data:

NPI Number: 1750779591
Provider Enumeration Date: 01/01/2015
Last Update Date: 10/24/2018

Medicare PECOS Information:

PECOS PAC ID: 0244545986
Enrollment ID: I20180327000972

Medical Identifiers

Medical identifiers for Dale Anderson Ii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750779591	NPI	-	NPPES
300012154	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	28242030A (Indiana)	Primary
367500000X	Nurse Anesthetist, Certified Registered	19504 (Tennessee)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Orthopaedic Hospital At Parkview North Llc	Fort wayne, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Surgery One Anesthesia Llc	8820351463	32

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. Dale Anderson Ii allows following entities to bill medicare on his behalf.

Entity Name	Surgery One Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144724402 PECOS PAC ID: 8820351463 Enrollment ID: O20180413001005

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. Dale Anderson Ii 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
Dale Anderson Ii, 5052 N Clinton St, Fort Wayne, IN 46825-5822 Ph: (260) 484-8551	Dale Anderson Ii, 5050 N Clinton St, Fort Wayne, IN 46825-5886 Ph: (260) 484-8551

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fort Wayne, IN

Anthony Dzigbordi, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5050 N Clinton St, Fort Wayne, IN 46825 Phone: 260-484-8551
Lisa A Tompa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5050 N Clinton St, Fort Wayne, IN 46825 Phone: 260-484-8551 Fax: 260-482-5060
Nicole Borem Schickel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5734 Coventry Ln, Fort Wayne, IN 46804 Phone: 260-436-7875
Blair John Walker, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-416-3000
Madeline Sikes Brooks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825 Phone: 260-436-7875 Fax: 260-432-9812
Dr. Jennifer Hager, DNP, MBA, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825 Phone: 260-436-7875 Fax: 260-432-9812
Lisa Osborne, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5734 Coventry Ln, Fort Wayne, IN 46804 Phone: 260-436-7875

Dale Anderson Ii, - Medicare Certified Registered Nurse Anesthetist (crna) in Fort Wayne, IN