Ms Chelsey Diana Wyatt, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Rugby, North Dakota. Her current practice location is
800 S Main Ave, Rugby, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 776-5261.
Ms Chelsey Diana Wyatt is licensed to practice in North Dakota (license number R43972) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1225570930.
Provider's Profile
| Full Name | Ms Chelsey Diana Wyatt |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 800 S Main Ave, Rugby, North Dakota |
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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: 1225570930
- Provider Enumeration Date: 11/11/2016
- Last Update Date: 02/08/2017
Medicare PECOS Information:
- PECOS PAC ID: 6305120114
- Enrollment ID: I20170222002487
Medical Identifiers
Medical identifiers for Ms Chelsey Diana Wyatt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225570930 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | R 201735-0 (Minnesota) | Secondary |
| 163W00000X | Registered Nurse | 219149-30 (Wisconsin) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | R43972 (North Dakota) | 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. Ms Chelsey Diana Wyatt allows following entities to bill medicare on her behalf.
| Entity Name | Good Samaritan Hospital Association |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588751325
PECOS PAC ID: 6002716701
Enrollment ID: O20040225000266 |
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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. Ms Chelsey Diana Wyatt 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 |
|---|
Ms Chelsey Diana Wyatt, CRNA
800 S Main Ave,
Rugby, ND 58368-2118
Ph: (701) 776-5261 | Ms Chelsey Diana Wyatt, CRNA
800 S Main Ave,
Rugby, ND 58368-2118
Ph: (701) 776-5261 |
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