Lori L Bruntjen-carter, CRNA in Springfield, IL - Medicare Nurse Anesthetist, Certified Registered

Lori L Bruntjen-carter, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Springfield, Illinois. Her current practice location is 701 N 1st St, Springfield, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 788-3754.

Lori L Bruntjen-carter is licensed to practice in Illinois (license number ) 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 1306812110.

Contact Information

	Lori L Bruntjen-carter, CRNA
	701 N 1st St, Springfield, IL 62781-0001
	(217) 788-3754
	(217) 788-7071

Map and Direction

Provider's Profile

Full Name	Lori L Bruntjen-carter
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	701 N 1st 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: 1306812110
Provider Enumeration Date: 02/23/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7810178845
Enrollment ID: I20110224000404

Medical Identifiers

Medical identifiers for Lori L Bruntjen-carter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306812110	NPI	-	NPPES
041908	Other		CCNA CERTIFICATION

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	(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. Lori L Bruntjen-carter allows following entities to bill medicare on her behalf.

Entity Name	Memorial Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255393112 PECOS PAC ID: 7315835949 Enrollment ID: O20040713000579

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. Lori L Bruntjen-carter 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
Lori L Bruntjen-carter, CRNA 701 N 1st St, Springfield, IL 62781-0001 Ph: (217) 788-3754	Lori L Bruntjen-carter, CRNA 701 N 1st St, Springfield, IL 62781-0001 Ph: (217) 788-3754

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

Lori L Bruntjen-carter, CRNA - Medicare Nurse Anesthetist, Certified Registered in Springfield, IL