Paul David Lystrup, CRNA in Syracuse, NY - Medicare Certified Registered Nurse Anesthetist (crna)

Paul David Lystrup, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Syracuse, New York. He graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Premier Anesthesia Of Richland A Division Of Premier Anesthesia, Llc and his current practice location is 4900 Broad Rd, Syracuse, New York. You can reach out to his office (for appointments etc.) via phone at (315) 492-5011.

Paul David Lystrup is licensed to practice in New York (license number 636868) 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 1831499920.

Contact Information

	Paul David Lystrup, CRNA
	4900 Broad Rd, Syracuse, NY 13215-2265
	(315) 492-5011
	Not Available

Map and Direction

Provider's Profile

Full Name	Paul David Lystrup
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	14 Years
Location	4900 Broad Rd, Syracuse, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Paul David Lystrup graduated from nursing school in 2010

NPI Data:

NPI Number: 1831499920
Provider Enumeration Date: 10/24/2010
Last Update Date: 04/26/2011

Medicare PECOS Information:

PECOS PAC ID: 9436335213
Enrollment ID: I20130529000086

Medical Identifiers

Medical identifiers for Paul David Lystrup such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831499920	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	22 636868 (New York)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	636868 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lourdes Medical Center	Pasco, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Premier Anesthesia Of Richland A Division Of Premier Anesthesia, Llc	4880699172	56

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. Paul David Lystrup allows following entities to bill medicare on his behalf.

Entity Name	Premier Anesthesia Of Richland A Division Of Premier Anesthesia, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013940253 PECOS PAC ID: 4880699172 Enrollment ID: O20060920000047

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. Paul David Lystrup 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
Paul David Lystrup, CRNA 3418 Hammocks Dr, Apt 308, Baldwinsville, NY 13027-4260 Ph: (623) 466-3387	Paul David Lystrup, CRNA 4900 Broad Rd, Syracuse, NY 13215-2265 Ph: (315) 492-5011

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Syracuse, NY

Robert A Worden, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4900 Broad Rd, Syracuse, NY 13215 Phone: 315-492-5522
Kristen Ryder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 315-470-8705
Marc Therrien, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 102 Russet Ln, Syracuse, NY 13209 Phone: 315-263-0526
Michael Joseph Hoskin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 Prospect Ave, Syracuse, NY 13203 Phone: 315-299-5451 Fax: 315-299-4710
John F Murphy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4900 Broad Rd, Syracuse, NY 13215 Phone: 315-470-7828 Fax: 315-470-5811
Ms. Sigrid A. Marfo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4900 Broad Rd, Syracuse, NY 13215 Phone: 315-492-5522
James Roth, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 315-470-7828 Fax: 315-470-5811

Paul David Lystrup, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Syracuse, NY