Mr Russell E Dubose, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Burnet, Texas. His current practice location is
3201 S Water St, Burnet, Texas. You can reach out to his office (for appointments etc.) via phone at
(512) 715-3000.
Mr Russell E Dubose is licensed to practice in Texas (license number 248885) 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 1023057239.
Provider's Profile
| Full Name | Mr Russell E Dubose |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 3201 S Water St, Burnet, Texas |
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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: 1023057239
- Provider Enumeration Date: 06/05/2006
- Last Update Date: 09/09/2011
Medicare PECOS Information:
- PECOS PAC ID: 2961415724
- Enrollment ID: I20060720000230
Medical Identifiers
Medical identifiers for Mr Russell E Dubose such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023057239 | NPI | - | NPPES |
| 220520501 | Other | TX | MEDICAID PIN - GROUP |
| 00405R | Other | TX | MEDICARE PIN - GROUP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 248885 (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 Russell E Dubose allows following entities to bill medicare on his behalf.
| Entity Name | Austin Gastroenterology Anesthesia Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427405810
PECOS PAC ID: 6305138603
Enrollment ID: O20160707000274 |
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| Entity Name | Anesthesia Dynamics Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073001012
PECOS PAC ID: 3779832530
Enrollment ID: O20200422002521 |
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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 Russell E Dubose 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 Russell E Dubose, CRNA
Po Box 1219,
Burnet, TX 78611-7219
Ph: (512) 715-3000 | Mr Russell E Dubose, CRNA
3201 S Water St,
Burnet, TX 78611-4510
Ph: (512) 715-3000 |
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