Dalette Ann Carlson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Julesburg, Colorado. Her current practice location is
104 W 1st St, Julesburg, Colorado. You can reach out to her office (for appointments etc.) via phone at
(316) 613-1994.
Dalette Ann Carlson is licensed to practice in Kansas (license number 55014) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396815619.
Provider's Profile
| Full Name | Dalette Ann Carlson |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 104 W 1st St, Julesburg, Colorado |
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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: 1396815619
- Provider Enumeration Date: 11/08/2006
- Last Update Date: 07/25/2016
Medicare PECOS Information:
- PECOS PAC ID: 3577544071
- Enrollment ID: I20101118000941
Medical Identifiers
Medical identifiers for Dalette Ann Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396815619 | NPI | - | NPPES |
| 145393 | Other | KS | BCBS |
| 100405110C | Medicaid | KS | |
| P00398982 | Other | KS | RR MEDICARE GROUP CQ2302 |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 55014 (Kansas) | 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. Dalette Ann Carlson allows following entities to bill medicare on her behalf.
| Entity Name | Arapahoe Gastroenterology Anesthesia Associates Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598115479
PECOS PAC ID: 2466745294
Enrollment ID: O20160801001103 |
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| Entity Name | Central Colorado Anesthesia Associates Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659890382
PECOS PAC ID: 5698041507
Enrollment ID: O20171020001571 |
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| Entity Name | Anesthesia Dynamics Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073001012
PECOS PAC ID: 3779832530
Enrollment ID: O20201020000054 |
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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. Dalette Ann Carlson 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 |
|---|
Dalette Ann Carlson, CRNA
104 W 1st St,
Julesburg, CO 80737-1502
Ph: (316) 613-1994 | Dalette Ann Carlson, CRNA
104 W 1st St,
Julesburg, CO 80737-1502
Ph: (316) 613-1994 |
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