Daniel Forrest Slack, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Port Angeles, Washington. 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 Public Hospital District No 1 Of Mason County, Medstream Anesthesia Pllc and his current practice location is
939 Caroline St, Port Angeles, Washington. You can reach out to his office (for appointments etc.) via phone at
(360) 417-7711.
Daniel Forrest Slack is licensed to practice in Washington (license number AP60651342) 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 1780098442.
Provider's Profile
Full Name | Daniel Forrest Slack |
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Gender | Male |
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Speciality | Certified Registered Nurse Anesthetist (crna) |
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Experience | 10 Years |
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Location | 939 Caroline St, Port Angeles, Washington |
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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:
- Daniel Forrest Slack graduated from nursing school in 2014
NPI Data:
- NPI Number: 1780098442
- Provider Enumeration Date: 06/20/2014
- Last Update Date: 07/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 0648497313
- Enrollment ID: I20180208001233
Medical Identifiers
Medical identifiers for Daniel Forrest Slack such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780098442 | NPI | - | NPPES |
2093758 | Medicaid | WA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 6134-33 (Washington) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 201606815CRNA-P (Oregon) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 64001 (Idaho) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 712720 (New York) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | AP60651342 (Washington) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Public Hospital District No 1 Of Mason County | 0345139275 | 40 |
Medstream Anesthesia Pllc | 7416198049 | 570 |
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. Daniel Forrest Slack allows following entities to bill medicare on his behalf.
Entity Name | Grant County Public Hospital District 1 |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619086766 PECOS PAC ID: 9931095692 Enrollment ID: O20040227000602 |
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Entity Name | Public Hospital District No 1 Of Mason County |
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Entity Type | Part B Supplier - Hospital Department(s) |
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Entity Identifiers | NPI Number: 1164650032 PECOS PAC ID: 0345139275 Enrollment ID: O20090921000676 |
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Entity Name | Capital Medical Center Specialty Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760785281 PECOS PAC ID: 2567651771 Enrollment ID: O20110104000592 |
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Entity Name | Medstream Anesthesia Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20211021002476 |
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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. Daniel Forrest Slack 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 |
Daniel Forrest Slack, CRNA 660 S Coolidge St, Moses Lake, WA 98837-1872 Ph: (509) 793-9715 | Daniel Forrest Slack, CRNA 939 Caroline St, Port Angeles, WA 98362-3909 Ph: (360) 417-7711 |
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