Mr Nicholas Beastrom, AA is a medicare enrolled "Anesthesiologist Assistant" in Mayfiled Heights, Ohio. He went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 2010 and has 14 years of diverse experience with area of expertise as Anesthesiology Assistant. He is a member of the group practice Cleveland Clinic Foundation and his current practice location is
6780 Mayfield Road, Mayfiled Heights, Ohio. You can reach out to his office (for appointments etc.) via phone at
(440) 312-4500.
Mr Nicholas Beastrom is licensed to practice in Ohio (license number 67.000167) 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 1114245313.
Provider's Profile
| Full Name | Mr Nicholas Beastrom |
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| Gender | Male |
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| Speciality | Anesthesiology Assistant |
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| Experience | 14 Years |
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| Location | 6780 Mayfield Road, Mayfiled Heights, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Nicholas Beastrom attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 2010
NPI Data:
- NPI Number: 1114245313
- Provider Enumeration Date: 05/12/2010
- Last Update Date: 10/06/2010
Medicare PECOS Information:
- PECOS PAC ID: 1850584863
- Enrollment ID: I20101022000730
Medical Identifiers
Medical identifiers for Mr Nicholas Beastrom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1114245313 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367H00000X | Anesthesiologist Assistant | 67.000167 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cleveland Clinic Foundation | 1850203555 | 5680 |
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 Nicholas Beastrom allows following entities to bill medicare on his behalf.
| Entity Name | The Cleveland Clinic Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679525919
PECOS PAC ID: 1850203555
Enrollment ID: O20031103000049 |
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| Entity Name | Cleveland Anesthesia Group, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154407955
PECOS PAC ID: 7113830050
Enrollment ID: O20031107000151 |
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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 Nicholas Beastrom 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 Nicholas Beastrom, AA
6780 Mayfield Road,
Mayfiled Heights, OH 44124-2212
Ph: (440) 312-4500 | Mr Nicholas Beastrom, AA
6780 Mayfield Road,
Mayfiled Heights, OH 44124-2212
Ph: (440) 312-4500 |
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