Peter Van Dalen, in Lexington, KY - Medicare Nurse Anesthetist, Certified Registered

Peter Van Dalen, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lexington, Kentucky. His current practice location is 204 Shoreside Dr, Lexington, Kentucky. You can reach out to his office (for appointments etc.) via phone at (919) 592-0101.

Peter Van Dalen is licensed to practice in North Carolina (license number 255054) 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 1356095079.

Contact Information

	Peter Van Dalen,
	204 Shoreside Dr, Lexington, KY 40515-5606
	(919) 592-0101
	Not Available

Map and Direction

Provider's Profile

Full Name	Peter Van Dalen
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	204 Shoreside Dr, Lexington, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356095079
Provider Enumeration Date: 02/10/2022
Last Update Date: 02/10/2022

Medicare PECOS Information:

PECOS PAC ID: 6204207624
Enrollment ID: I20231101002223

Medical Identifiers

Medical identifiers for Peter Van Dalen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356095079	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	255054 (North Carolina)	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. Peter Van Dalen allows following entities to bill medicare on his behalf.

Entity Name	Valley Anesthesia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275587115 PECOS PAC ID: 7416851597 Enrollment ID: O20031120000746

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. Peter Van Dalen 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
Peter Van Dalen, 204 Shoreside Dr, Lexington, KY 40515-5606 Ph: (919) 592-0101	Peter Van Dalen, 204 Shoreside Dr, Lexington, KY 40515-5606 Ph: (919) 592-0101

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Lexington, KY

Keesha Ovee Watts, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Rose St, Lexington, KY 40536 Phone: 859-323-5956 Fax: 859-323-1080
Robert Jason Crafton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Rose St, Department Of Anesthesiology, Lexington, KY 40536 Phone: 859-323-5956 Fax: 859-218-1080
Kathleen Whitehouse, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 150 N Eagle Creek Dr, Lexington, KY 40509 Phone: 859-967-5000
Richi C Gambrel, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 800 Rose Street, Lexington, KY 40536 Phone: 859-323-5000
Mrs. Cynthia Napier, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: One Saint Joseph Drive, Lexington, KY 40504 Phone: 859-313-1000
Mr. John Stepan Pototsky, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Rose St, Lexington, KY 40536 Phone: 859-323-5956 Fax: 859-323-1080
Ms. Cathleen D. Bentley, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 150 N Eagle Creek Dr, Lexington, KY 40509 Phone: 859-967-5000

Peter Van Dalen, - Medicare Nurse Anesthetist, Certified Registered in Lexington, KY