Mr Gustaaf Cornelis Van Soestbergen, CRNA MSN MPA in Lebanon, NH - Medicare Nurse Anesthetist, Certified Registered

Mr Gustaaf Cornelis Van Soestbergen, CRNA MSN MPA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lebanon, New Hampshire. His current practice location is 1 Medical Center Dr, Lebanon, New Hampshire. You can reach out to his office (for appointments etc.) via phone at (603) 650-5922.

Mr Gustaaf Cornelis Van Soestbergen is licensed to practice in North Carolina (license number 173) 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 1033211131.

Contact Information

	Mr Gustaaf Cornelis Van Soestbergen, CRNA MSN MPA
	1 Medical Center Dr, Lebanon, NH 03756-0001
	(603) 650-5922
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Gustaaf Cornelis Van Soestbergen
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	1 Medical Center Dr, Lebanon, New Hampshire
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033211131
Provider Enumeration Date: 09/01/2006
Last Update Date: 07/29/2024

Medicare PECOS Information:

PECOS PAC ID: 3375527443
Enrollment ID: I20040616000312

Medical Identifiers

Medical identifiers for Mr Gustaaf Cornelis Van Soestbergen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033211131	NPI	-	NPPES
NAN754	Medicaid	SC
8052174	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	0105995 (North Carolina)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	086274-23 (New Hampshire)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	173 (North Carolina)	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 Gustaaf Cornelis Van Soestbergen allows following entities to bill medicare on his behalf.

Entity Name	Carolinas Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619041514 PECOS PAC ID: 4789597477 Enrollment ID: O20040309001252

Entity Name	East Carolina Anesthesia Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205996519 PECOS PAC ID: 5092720813 Enrollment ID: O20060215000791

Entity Name	Chs Anesthesia Services Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346649415 PECOS PAC ID: 5799007324 Enrollment ID: O20141209001856

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 Gustaaf Cornelis Van Soestbergen 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 Gustaaf Cornelis Van Soestbergen, CRNA MSN MPA 1 Medical Center Dr, Lebanon, NH 03756-0001 Ph: (603) 650-5922	Mr Gustaaf Cornelis Van Soestbergen, CRNA MSN MPA 1 Medical Center Dr, Lebanon, NH 03756-0001 Ph: (603) 650-5922

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Lebanon, NH

Patrick C Keane, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 215-589-0469
Frederic Jon Schaafsma, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5922
Jeffrey C. Horstman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5922
Sarah Marie Zack Hewitt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Anesthesiology, Lebanon, NH 03756 Phone: 603-650-5922
Mr. Thomas Reyes Iv, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: One Medical Center Drive, Anesthesiology, Lebanon, NH 03756 Phone: 603-650-5922
Mrs. Megan Elizabeth Clouse, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Anesthesiology, Lebanon, NH 03756 Phone: 603-650-5922

Mr Gustaaf Cornelis Van Soestbergen, CRNA MSN MPA - Medicare Nurse Anesthetist, Certified Registered in Lebanon, NH