Mr Matthew Gudorf, CRNA in Canton, OH - Medicare Nurse Anesthetist, Certified Registered

Mr Matthew Gudorf, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Canton, Ohio. His current practice location is 2600 Sixth St Sw, Canton, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 363-4951.

Mr Matthew Gudorf is licensed to practice in Ohio (license number APRN.CRNA.0020855) 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 1033994173.

Contact Information

	Mr Matthew Gudorf, CRNA
	2600 Sixth St Sw, Canton, OH 44710-1702
	(330) 363-4951
	(330) 363-7679

Map and Direction

Provider's Profile

Full Name	Mr Matthew Gudorf
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	2600 Sixth St Sw, Canton, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033994173
Provider Enumeration Date: 08/28/2023
Last Update Date: 08/28/2023

Medicare PECOS Information:

PECOS PAC ID: 1355785452
Enrollment ID: I20240216001542

Medical Identifiers

Medical identifiers for Mr Matthew Gudorf such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033994173	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	APRN.CRNA.0020855 (Ohio)	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 Matthew Gudorf allows following entities to bill medicare on his behalf.

Entity Name	Ohio Hospital-based Physicians Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891727079 PECOS PAC ID: 9133019110 Enrollment ID: O20040316000515

Entity Name	Aultman Deuble Heart & Vascular Hospital, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306495718 PECOS PAC ID: 1850726126 Enrollment ID: O20200114002347

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 Matthew Gudorf 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 Matthew Gudorf, CRNA 2600 Sixth St Sw, Canton, OH 44710-1702 Ph: (330) 363-4951	Mr Matthew Gudorf, CRNA 2600 Sixth St Sw, Canton, OH 44710-1702 Ph: (330) 363-4951

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Canton, OH

Sarah Gomez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4665 Douglas Cir Nw, Canton, OH 44718 Phone: 330-499-5700
Roxie Lee Rush, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2600 Sixth Street Sw, Ohio Hospital Based Physician Corp, Canton, OH 44710 Phone: 330-363-7462 Fax: 330-363-7679
Mr. Kevin White, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-363-7462 Fax: 330-363-7679
Amanda G Gillis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4665 Douglas Cir Nw, #100, Canton, OH 44718 Phone: 330-499-5700 Fax: 330-498-4229
Arlene Ann Weeber, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2600 6th St Sw, Ohio Hospital Based Physician Corp, Canton, OH 44710 Phone: 330-363-7462 Fax: 330-363-7679
Sheree Boyle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-363-7462 Fax: 330-363-7679
Lois R Milosevic, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708 Phone: 330-489-1111

Mr Matthew Gudorf, CRNA - Medicare Nurse Anesthetist, Certified Registered in Canton, OH