Deborah A Hartley, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Shelton, Washington. Her current practice location is
901 Mt View Dr, Building 1, Shelton, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 426-1611.
Deborah A Hartley is licensed to practice in Washington (license number RN00094991) 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 1043288319.
Provider's Profile
| Full Name | Deborah A Hartley |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 901 Mt View Dr, Shelton, Washington |
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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: 1043288319
- Provider Enumeration Date: 03/10/2006
- Last Update Date: 04/29/2008
Medicare PECOS Information:
- PECOS PAC ID: 3678465291
- Enrollment ID: I20091105000230
Medical Identifiers
Medical identifiers for Deborah A Hartley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043288319 | NPI | - | NPPES |
| 9619263 | Medicaid | WA | |
| 126457155 | Other | WA | TRICARE |
| HA6715 | Other | WA | BLUE CROSS OF WA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN00094991 (Washington) | 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. Deborah A Hartley allows following entities to bill medicare on her behalf.
| 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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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. Deborah A Hartley 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 |
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Deborah A Hartley, CRNA
400 E 10th St,
Waconia, MN 55387-4552
Ph: (952) 442-9770 | Deborah A Hartley, CRNA
901 Mt View Dr, Building 1,
Shelton, WA 98584-4401
Ph: (360) 426-1611 |
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