Andre Michael Chepetan, in Albuquerque, NM - Medicare Certified Registered Nurse Anesthetist (crna)

Andre Michael Chepetan, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Albuquerque, New Mexico. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Main Street Anesthesia Of New Mexico, Llc, Hospitalist Medicine Physicians Of Washington - Tcs and his current practice location is 6709 Academy Rd Ne Ste A, Albuquerque, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 308-3145.

Andre Michael Chepetan is licensed to practice in New Mexico (license number 64039) 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 1780286344.

Contact Information

	Andre Michael Chepetan,
	6709 Academy Rd Ne Ste A, Albuquerque, NM 87109-3363
	(505) 308-3145
	(505) 308-3147

Map and Direction

Provider's Profile

Full Name	Andre Michael Chepetan
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	4 Years
Location	6709 Academy Rd Ne Ste A, Albuquerque, New Mexico
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:

Andre Michael Chepetan graduated from nursing school in 2020

NPI Data:

NPI Number: 1780286344
Provider Enumeration Date: 11/09/2020
Last Update Date: 09/02/2021

Medicare PECOS Information:

PECOS PAC ID: 9931517943
Enrollment ID: I20211208001382

Medical Identifiers

Medical identifiers for Andre Michael Chepetan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780286344	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	1029382 (Texas)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
367500000X	Nurse Anesthetist, Certified Registered	64039 (New Mexico)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Unm Sandoval Regional Medical Center	Rio rancho, NM	Hospital
University Of New Mexico Hospital	Albuquerque, NM	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Main Street Anesthesia Of New Mexico, Llc	3476807538	154
Hospitalist Medicine Physicians Of Washington - Tcs	6800240102	102

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. Andre Michael Chepetan allows following entities to bill medicare on his behalf.

Entity Name	Main Street Anesthesia Of New Mexico, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275010985 PECOS PAC ID: 3476807538 Enrollment ID: O20181108002622

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. Andre Michael Chepetan 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
Andre Michael Chepetan, Po Box 845347, Dallas, TX 75284-5347 Ph: (469) 291-3369	Andre Michael Chepetan, 6709 Academy Rd Ne Ste A, Albuquerque, NM 87109-3363 Ph: (505) 308-3145

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Albuquerque, NM

Francis Joseph Stoecker Iii, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1313 Dakota St Se, Albuquerque, NM 87108 Phone: 719-351-7921
Kyle Rodgers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6709 Academy Rd Ne Ste A, Albuquerque, NM 87109 Phone: 505-308-3145
Mr. J D Sharick, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106 Phone: 505-272-3119
Hideyo Tsumura, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4401 Masthead St Ne Ste 120, Albuquerque, NM 87109 Phone: 505-243-7729 Fax: 505-243-4804
Mr. Michael Bailey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7788 Jefferson St Ne, Albuquerque, NM 87109 Phone: 505-999-1600 Fax: 505-999-1650
David Vincent Dick, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1100 Central Ave Se, Albuquerque, NM 87106 Phone: 505-841-1234 Fax: 505-841-1956
Morgan J Ouellette Morrow, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1100 Central Ave Se, Albuquerque, NM 87106 Phone: 505-841-1234 Fax: 505-841-1956

Andre Michael Chepetan, - Medicare Certified Registered Nurse Anesthetist (crna) in Albuquerque, NM