Guadalupe Chavez, in Springfield, IL - Medicare Nurse Anesthetist, Certified Registered

Guadalupe Chavez, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Springfield, Illinois. His current practice location is 800 E Carpenter St, Springfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 544-6464.

Guadalupe Chavez is licensed to practice in Illinois (license number 209.026641) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1700500824.

Contact Information

	Guadalupe Chavez,
	800 E Carpenter St, Springfield, IL 62769-1000
	(217) 544-6464
	Not Available

Map and Direction

Provider's Profile

Full Name	Guadalupe Chavez
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	800 E Carpenter St, Springfield, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700500824
Provider Enumeration Date: 10/03/2022
Last Update Date: 12/27/2022

Medicare PECOS Information:

PECOS PAC ID: 1759752314
Enrollment ID: I20230119001006

Medical Identifiers

Medical identifiers for Guadalupe Chavez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700500824	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	R64067 (New Mexico)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	209.026641 (Illinois)	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. Guadalupe Chavez allows following entities to bill medicare on his behalf.

Entity Name	North American Partners In Anesthesia Illinois Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699032524 PECOS PAC ID: 1052576519 Enrollment ID: O20120706000534

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. Guadalupe Chavez 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
Guadalupe Chavez, 13928 York Ave S, Burnsville, MN 55337-7739 Ph: (575) 626-3463	Guadalupe Chavez, 800 E Carpenter St, Springfield, IL 62769-1000 Ph: (217) 544-6464

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Springfield, IL

Douglas Mcdonald Childs, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 800 E Carpenter St, Springfield, IL 62704 Phone: 217-525-5643 Fax: 217-544-2521
Carol A Gorden, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-788-3754 Fax: 217-788-7071
Ann R Larson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Anesthesia Department, Springfield, IL 62781 Phone: 217-788-3754 Fax: 217-788-7071
Jenna Younker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62702 Phone: 217-525-5643 Fax: 217-544-2521
Kelsey A Wallace, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-788-3000
Delores A Gallo, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1025 S 6th St, Springfield, IL 62703 Phone: 217-528-7541
Larry D. Sartore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 800 East Carpenter Street, Room 2k64, Springfield, IL 62769 Phone: 217-525-5643 Fax: 217-544-3311

Guadalupe Chavez, - Medicare Nurse Anesthetist, Certified Registered in Springfield, IL