Dr Benjamin Bergesen, CRNA in Terre Haute, IN - Medicare Certified Registered Nurse Anesthetist (crna)

Dr Benjamin Bergesen, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Terre Haute, Indiana. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Iceland Anesthesia Management Llc, Campbell County Hospital District and his current practice location is 1606 N 7th St, Terre Haute, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 238-7000.

Dr Benjamin Bergesen is licensed to practice in Indiana (license number 28206146A) 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 1881299246.

Contact Information

	Dr Benjamin Bergesen, CRNA
	1606 N 7th St, Terre Haute, IN 47804-2706
	(812) 238-7000
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Benjamin Bergesen
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	4 Years
Location	1606 N 7th St, Terre Haute, 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:

Dr Benjamin Bergesen graduated from nursing school in 2020

NPI Data:

NPI Number: 1881299246
Provider Enumeration Date: 12/03/2020
Last Update Date: 02/19/2024

Medicare PECOS Information:

PECOS PAC ID: 9638582935
Enrollment ID: I20210105002902

Medical Identifiers

Medical identifiers for Dr Benjamin Bergesen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881299246	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	50907 (Idaho)	Secondary
163W00000X	Registered Nurse	28206146A (Indiana)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	28206146A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Union Hospital Inc	Terre haute, IN	Hospital
Campbell County Health	Gillette, WY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Iceland Anesthesia Management Llc	7618372996	53
Campbell County Hospital District	2860392529	110

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. Dr Benjamin Bergesen allows following entities to bill medicare on his behalf.

Entity Name	Unified Anesthesia Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093192882 PECOS PAC ID: 8628376068 Enrollment ID: O20160418001990

Entity Name	Iceland Anesthesia Management Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912578667 PECOS PAC ID: 7618372996 Enrollment ID: O20210825000860

Entity Name	Jebs Anesthesia Consultants, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790447761 PECOS PAC ID: 4486046646 Enrollment ID: O20220120000233

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. Dr Benjamin Bergesen 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
Dr Benjamin Bergesen, CRNA 505 Elm Dr, Plainfield, IN 46168-2113 Ph: (317) 503-1795	Dr Benjamin Bergesen, CRNA 1606 N 7th St, Terre Haute, IN 47804-2706 Ph: (812) 238-7000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Terre Haute, IN

Robert Lucas Gomez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3901 S 7th St, Terre Haute, IN 47802 Phone: 812-237-0211 Fax: 812-237-0182
Rebecca Maupin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3901 S 7th St, Terre Haute, IN 47802 Phone: 812-232-0021
Dr. Derrianne Michelle Monteiro, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1421 N 7th St, Terre Haute, IN 47807 Phone: 812-231-4608 Fax: 812-231-4675
Mr. John Nathan Neukam, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3901 S 7th St, Terre Haute, IN 47802 Phone: 812-232-0021
Dr. Megan Gale Engelman, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1606 N 7th St, Terre Haute, IN 47804 Phone: 317-902-7309
Adam Kynaston, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3901 S 7th St, Terre Haute, IN 47802 Phone: 812-232-0021
Chidimma Nnedimma Offiah, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3901 S 7th St, Terre Haute, IN 47802 Phone: 812-232-0021

Dr Benjamin Bergesen, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Terre Haute, IN