Michelle R Bultje, CRNA in Sioux Falls, SD - Medicare Certified Registered Nurse Anesthetist (crna)

Michelle R Bultje, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Sioux Falls, South Dakota. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Avera Queen Of Peace and her current practice location is 1325 S Cliff Ave, Anesthesia Dept, Sioux Falls, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 322-2754.

Michelle R Bultje is licensed to practice in South Dakota (license number CR000766) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1588942627.

Contact Information

	Michelle R Bultje, CRNA
	1325 S Cliff Ave, Anesthesia Dept, Sioux Falls, SD 57105-1007
	(605) 322-2754
	Not Available

Map and Direction

Provider's Profile

Full Name	Michelle R Bultje
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	13 Years
Location	1325 S Cliff Ave, Sioux Falls, South Dakota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Michelle R Bultje graduated from nursing school in 2011

NPI Data:

NPI Number: 1588942627
Provider Enumeration Date: 07/22/2011
Last Update Date: 01/03/2012

Medicare PECOS Information:

PECOS PAC ID: 2163692443
Enrollment ID: I20110823000997

Medical Identifiers

Medical identifiers for Michelle R Bultje such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588942627	NPI	-	NPPES
1588942627	Medicaid	IA
1588942627	Other		BCBS MN
1588942627	Other		DAKOTACARE
1588942627	Other		WELLMARK BCBS/TRICARE
1588942627	Medicaid	MN
575690	Medicaid	SD
46022474348	Medicaid	NE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	CR000766 (South Dakota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Avera Queen Of Peace	9335050806	89

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. Michelle R Bultje allows following entities to bill medicare on her behalf.

Entity Name	Avera Queen Of Peace
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205359031 PECOS PAC ID: 9335050806 Enrollment ID: O20031229000301

Entity Name	Avera Queen Of Peace
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1992466635 PECOS PAC ID: 9335050806 Enrollment ID: O20220301001771

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. Michelle R Bultje 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
Michelle R Bultje, CRNA Po Box 5045, Attn: P.f.s. Provider Enrollment, Sioux Falls, SD 57117-5045 Ph: (605) 322-6428	Michelle R Bultje, CRNA 1325 S Cliff Ave, Anesthesia Dept, Sioux Falls, SD 57105-1007 Ph: (605) 322-2754

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Sioux Falls, SD

Jedd D Bialas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 W 18th St, Sioux Falls, SD 57105 Phone: 605-333-1000
Aaron Daniel Mortensen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 W 18th St, Sioux Falls, SD 57105 Phone: 605-333-1000
Austin Wade Fox, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1325 S Cliff Ave, Sioux Falls, SD 57105 Phone: 605-322-8000
Paul E Gilmore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1305 W 18th St, Sioux Falls, SD 57105 Phone: 605-333-1000
John A Lyle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E 21st St, Sioux Falls, SD 57105 Phone: 605-322-2754 Fax: 605-322-2727
Christopher Brusseau, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 W 18th Street, Anesthesia Department, Sioux Falls, SD 57117 Phone: 605-312-1225 Fax: 605-312-1226
Gay J Heitmann, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1305 W 18th St, Sioux Falls, SD 57105 Phone: 605-333-1000

Michelle R Bultje, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Sioux Falls, SD