Ms Nicole Marie De Gortari, CRNA in Jefferson Hills, PA - Medicare Nurse Anesthetist, Certified Registered

Ms Nicole Marie De Gortari, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jefferson Hills, Pennsylvania. Her current practice location is 565 Coal Valley Rd, Jefferson Hills, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (412) 469-5000.

Ms Nicole Marie De Gortari is licensed to practice in Pennsylvania (license number RN542913) 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 1053593491.

Contact Information

	Ms Nicole Marie De Gortari, CRNA
	565 Coal Valley Rd, Jefferson Hills, PA 15025-3703
	(412) 469-5000
	(412) 469-7174

Map and Direction

Provider's Profile

Full Name	Ms Nicole Marie De Gortari
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	565 Coal Valley Rd, Jefferson Hills, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053593491
Provider Enumeration Date: 11/28/2007
Last Update Date: 10/14/2020

Medicare PECOS Information:

PECOS PAC ID: 5799869061
Enrollment ID: I20080226000016

Medical Identifiers

Medical identifiers for Ms Nicole Marie De Gortari such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053593491	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN542913 (Pennsylvania)	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 Nicole Marie De Gortari allows following entities to bill medicare on her behalf.

Entity Name	Allegheny Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073081493 PECOS PAC ID: 5395649586 Enrollment ID: O20040310000602

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 Nicole Marie De Gortari 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 Nicole Marie De Gortari, CRNA 565 Coal Valley Rd, Jefferson Hills, PA 15025-3703 Ph: (412) 469-5000	Ms Nicole Marie De Gortari, CRNA 565 Coal Valley Rd, Jefferson Hills, PA 15025-3703 Ph: (412) 469-5000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Jefferson Hills, PA

Mrs. Victoria L Riley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 565 Coal Valley Rd, Jefferson Hills, PA 15025 Phone: 412-469-5000 Fax: 412-469-7174
Adam A Barone, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 565 Coal Valley Rd, Jefferson Hills, PA 15025 Phone: 412-469-5000 Fax: 412-469-7174
Jennifer Vlahos, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 565 Coal Valley Rd, Jefferson Hills, PA 15025 Phone: 412-469-5000
Kerrie Reffert, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 565 Coal Valley Rd, Jefferson Hills, PA 15025 Phone: 412-469-5000 Fax: 412-469-7174
Sarah E Griener, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 565 Coal Valley Rd, Jefferson Hills, PA 15025 Phone: 412-469-5000 Fax: 412-469-7174
Ashley Rae Wehner, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 565 Coal Valley Rd, Jefferson Hills, PA 15025 Phone: 412-469-5000

Ms Nicole Marie De Gortari, CRNA - Medicare Nurse Anesthetist, Certified Registered in Jefferson Hills, PA