Kathryn Clark Dearborn, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Saranac Lake, New York. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Premier Anesthesia Of New York, P.c. and her current practice location is
2233 State Route 86, Saranac Lake, New York. You can reach out to her office (for appointments etc.) via phone at
(581) 891-4141.
Kathryn Clark Dearborn is licensed to practice in New York (license number 615852-1) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1255616629.
Provider's Profile
| Full Name | Kathryn Clark Dearborn |
|---|
| Gender | Female |
|---|
| Speciality | Certified Registered Nurse Anesthetist (crna) |
|---|
| Experience | 13 Years |
|---|
| Location | 2233 State Route 86, Saranac Lake, New York |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Kathryn Clark Dearborn graduated from nursing school in 2011
NPI Data:
- NPI Number: 1255616629
- Provider Enumeration Date: 10/18/2011
- Last Update Date: 05/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 1456528421
- Enrollment ID: I20120113000437
Medical Identifiers
Medical identifiers for Kathryn Clark Dearborn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255616629 | NPI | - | NPPES |
| 80574823 | Medicaid | CO | |
| COAAA4235 | Other | CO | CO MEDICARE |
| P01080610 | Other | CO | MEDICARE RAILROAD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | CRA-100084 (Colorado) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 615852-1 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Premier Anesthesia Of New York, P.c. | 7719041102 | 65 |
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. Kathryn Clark Dearborn allows following entities to bill medicare on her behalf.
| Entity Name | Premier Anesthesia Of New York, P.c. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1063658961
PECOS PAC ID: 7719041102
Enrollment ID: O20090129000560 |
|---|
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. Kathryn Clark Dearborn 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 |
|---|
Kathryn Clark Dearborn, CRNA
1236 E Elizabeth St, Suite 1,
Fort Collins, CO 80524-4000
Ph: (970) 224-2985 | Kathryn Clark Dearborn, CRNA
2233 State Route 86,
Saranac Lake, NY 12983-5644
Ph: (581) 891-4141 |
Reviews and Comments