Mr Ireneo Tumali De Guzman, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lewistown, Montana. His current practice location is
408 Wendell Ave, Lewistown, Montana. You can reach out to his office (for appointments etc.) via phone at
(406) 538-7711.
Mr Ireneo Tumali De Guzman is licensed to practice in Texas (license number 054510) 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 1497886634.
Provider's Profile
| Full Name | Mr Ireneo Tumali De Guzman |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 408 Wendell Ave, Lewistown, Montana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1497886634
- Provider Enumeration Date: 03/08/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2769447796
- Enrollment ID: I20070908000125
Medical Identifiers
Medical identifiers for Mr Ireneo Tumali De Guzman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1497886634 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 054510 (Texas) | 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 Ireneo Tumali De Guzman allows following entities to bill medicare on his behalf.
| Entity Name | Central Montana Medical Facilities Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497868814
PECOS PAC ID: 5395639793
Enrollment ID: O20040209000295 |
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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 Ireneo Tumali De Guzman 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 Ireneo Tumali De Guzman, CRNA
619 W Pine St,
Lewistown, MT 59457-3145
Ph: (406) 366-0592 | Mr Ireneo Tumali De Guzman, CRNA
408 Wendell Ave,
Lewistown, MT 59457-2261
Ph: (406) 538-7711 |
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