Mr Douglas Rutkowski, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Tampa, FL

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Mr Douglas Rutkowski, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tampa, Florida. He graduated from nursing school in 1992 and has 32 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Sunshine State Anesthesia Partners Llc and his current practice location is 9610 W Park Village Dr, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 926-4069.

Mr Douglas Rutkowski is licensed to practice in Florida (license number ARNP9230105) 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 1992743553.

Contact Information

Mr Douglas Rutkowski, CRNA
9610 W Park Village Dr,
Tampa, FL 33626-5135
(813) 926-4069
Not Available

Map and Direction




Provider's Profile

Full NameMr Douglas Rutkowski
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience32 Years
Location9610 W Park Village Dr, Tampa, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Douglas Rutkowski graduated from nursing school in 1992
  NPI Data:
  • NPI Number: 1992743553
  • Provider Enumeration Date: 06/03/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2264461581
  • Enrollment ID: I20050808000429

Medical Identifiers

Medical identifiers for Mr Douglas Rutkowski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992743553NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered ARNP9230105 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Largo Medical CenterLargo, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sunshine State Anesthesia Partners Llc8123434792365

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 Douglas Rutkowski allows following entities to bill medicare on his behalf.
Entity NameNorthwood Anesthesia Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801847405
PECOS PAC ID: 8022920255
Enrollment ID: O20031105000191
Entity NameGulf-to-bay Anesthesiology Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720039746
PECOS PAC ID: 5092628156
Enrollment ID: O20031106000250
Entity NameH Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306833595
PECOS PAC ID: 2264337021
Enrollment ID: O20031204000575
Entity NameNorth Pinellas Anesthesia Associates, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104879816
PECOS PAC ID: 5496915597
Enrollment ID: O20120327000952
Entity NameSweet Dreams Anesthesia Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508133497
PECOS PAC ID: 0042477705
Enrollment ID: O20150831000321
Entity NameSunshine State Anesthesia Partners Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437757127
PECOS PAC ID: 8123434792
Enrollment ID: O20210305000003

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 Douglas Rutkowski 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 AddressPractice Location Address
Mr Douglas Rutkowski, CRNA
9610 W Park Village Dr,
Tampa, FL 33626-5135

Ph: (813) 926-4069		Mr Douglas Rutkowski, CRNA
9610 W Park Village Dr,
Tampa, FL 33626-5135

Ph: (813) 926-4069

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.