Mr Dick A Beinborn, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Boscobel, Wisconsin. His current practice location is
205 Parker St, Boscobel, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 375-4112.
Mr Dick A Beinborn is licensed to practice in Wisconsin (license number 29 033) 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 1841358652.
Provider's Profile
Full Name | Mr Dick A Beinborn |
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Gender | Male |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 205 Parker St, Boscobel, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1841358652
- Provider Enumeration Date: 12/05/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8729019146
- Enrollment ID: I20050825000725
Medical Identifiers
Medical identifiers for Mr Dick A Beinborn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841358652 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 29 033 (Wisconsin) | 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. Mr Dick A Beinborn allows following entities to bill medicare on his behalf.
Entity Name | Memorial Hospital Of Boscobel |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760459846 PECOS PAC ID: 8325957673 Enrollment ID: O20040115000725 |
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Entity Name | Prairie Du Chien Memorial Hospital Association, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619024197 PECOS PAC ID: 4981698537 Enrollment ID: O20040414001308 |
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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 Dick A Beinborn 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 |
Mr Dick A Beinborn, CRNA 62598 Bluffs Of Wildernest, Prairie Du Chien, WI 53821 Ph: (608) 326-4549 | Mr Dick A Beinborn, CRNA 205 Parker St, Boscobel, WI 53805-1642 Ph: (608) 375-4112 |
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