Lawrence C Van Atta, CRNA in Price, UT - Medicare Nurse Anesthetist, Certified Registered

Lawrence C Van Atta, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Price, Utah. His current practice location is 300 N Hospital Dr, Price, Utah. You can reach out to his office (for appointments etc.) via phone at (800) 748-4868.

Lawrence C Van Atta is licensed to practice in Utah (license number 215357-4406) 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 1477658375.

Contact Information

	Lawrence C Van Atta, CRNA
	300 N Hospital Dr, Price, UT 84501-4218
	(800) 748-4868
	(801) 733-5872

Map and Direction

Provider's Profile

Full Name	Lawrence C Van Atta
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	300 N Hospital Dr, Price, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477658375
Provider Enumeration Date: 09/14/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1759316821
Enrollment ID: I20050928000653

Medical Identifiers

Medical identifiers for Lawrence C Van Atta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477658375	NPI	-	NPPES
107026171101	Other	UT	IHC
2000575	Other	UT	UNITED HEALTH
QM0000076612	Other	UT	ALTIUS
8567	Other	UT	HEALTHY U
809498	Other	UT	DESERET MUTUAL
270041325LV2	Other	UT	EDUCATORS MUTUAL
74393	Other	UT	PEHP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	215357-4406 (Utah)	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. Lawrence C Van Atta allows following entities to bill medicare on his behalf.

Entity Name	Pinnacle Anesthesia Associates, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144313669 PECOS PAC ID: 0648175455 Enrollment ID: O20031204000864

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. Lawrence C Van Atta 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
Lawrence C Van Atta, CRNA Po Box 981357, Park City, UT 84098-1357 Ph: (435) 615-1514	Lawrence C Van Atta, CRNA 300 N Hospital Dr, Price, UT 84501-4218 Ph: (800) 748-4868

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Price, UT

Scott Miller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 N Hospital Dr, Price, UT 84501 Phone: 801-310-8458
Jay H Gassman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 N Hospital Dr, Price, UT 84501 Phone: 800-748-4868 Fax: 801-733-5872
Joshua S Vincent, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 N Hospital Dr, Price, UT 84501 Phone: 435-637-4800
Mr. Bryce Robert Dougal, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 N Hospital Dr, Price, UT 84501 Phone: 435-637-4800

Lawrence C Van Atta, CRNA - Medicare Nurse Anesthetist, Certified Registered in Price, UT