Mr David Carl Bose, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lakin, Kansas. He graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Independent Physicians Network Pllc and his current practice location is
500 E Thorpe St, Lakin, Kansas. You can reach out to his office (for appointments etc.) via phone at
(620) 355-7111.
Mr David Carl Bose is licensed to practice in Kansas (license number 55452) 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 1114973906.
Provider's Profile
| Full Name | Mr David Carl Bose |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 19 Years |
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| Location | 500 E Thorpe St, Lakin, Kansas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr David Carl Bose graduated from nursing school in 2005
NPI Data:
- NPI Number: 1114973906
- Provider Enumeration Date: 05/25/2006
- Last Update Date: 03/21/2016
Medicare PECOS Information:
- PECOS PAC ID: 8123033727
- Enrollment ID: I20190918001402
Medical Identifiers
Medical identifiers for Mr David Carl Bose such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114973906 | NPI | - | NPPES |
| 200369140A | Medicaid | KS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 55452 (Kansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Independent Physicians Network Pllc | 5496029407 | 136 |
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. Mr David Carl Bose allows following entities to bill medicare on his behalf.
| Entity Name | Independent Physicians Network Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396274676
PECOS PAC ID: 5496029407
Enrollment ID: O20170914001408 |
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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. Mr David Carl Bose 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 |
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Mr David Carl Bose, CRNA
Po Box 821, P.o. Box 1023,
Hays, KS 67601-0821
Ph: (785) 628-8300 | Mr David Carl Bose, CRNA
500 E Thorpe St,
Lakin, KS 67860-9625
Ph: (620) 355-7111 |
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