Ms Mandalyn Musselman, CRNA in Bellevue, WA - Medicare Nurse Anesthetist, Certified Registered

Ms Mandalyn Musselman, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Bellevue, Washington. Her current practice location is 11511 Ne 10th St, Bellevue, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 502-3000.

Ms Mandalyn Musselman is licensed to practice in Washington (license number AP60112321) 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 1194961177.

Contact Information

	Ms Mandalyn Musselman, CRNA
	11511 Ne 10th St, Bellevue, WA 98004-8578
	(425) 502-3000
	(425) 502-3589

Map and Direction

Provider's Profile

Full Name	Ms Mandalyn Musselman
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	11511 Ne 10th St, Bellevue, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194961177
Provider Enumeration Date: 12/23/2008
Last Update Date: 04/23/2021

Medicare PECOS Information:

PECOS PAC ID: 2961567441
Enrollment ID: I20090929000595

Medical Identifiers

Medical identifiers for Ms Mandalyn Musselman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194961177	NPI	-	NPPES
9661992	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	AP60112321 (Washington)	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 Mandalyn Musselman allows following entities to bill medicare on her behalf.

Entity Name	Kaiser Foundation Health Plan Of Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454

Entity Name	Paceline Anesthesia, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417273780 PECOS PAC ID: 5799853099 Enrollment ID: O20081013000526

Entity Name	Providence Wa Anesthesia Services, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669615894 PECOS PAC ID: 9335298884 Enrollment ID: O20090513000135

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 Mandalyn Musselman 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 Mandalyn Musselman, CRNA 1135 116th Ave Ne, Ste 570, Bellevue, WA 98004-4632 Ph: (425) 451-7335	Ms Mandalyn Musselman, CRNA 11511 Ne 10th St, Bellevue, WA 98004-8578 Ph: (425) 502-3000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Bellevue, WA

Ajaz Bashir Sheikh, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1135 16th Ave Ne, Suite 570, Bellevue, WA 98004 Phone: 425-454-4768 Fax: 425-462-8021
Mr. Timothy Joseph Riley, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 11511 Ne 10th St, Bellevue, WA 98004 Phone: 425-502-3000 Fax: 425-502-3589
Sharon Marie Amaya Ii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 227 Bellevue Way Ne # 188, Bellevue, WA 98004 Phone: 888-337-3509 Fax: 866-472-1356
Dr. Katherine Christine Kuhlmann, CRNA, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11511 Ne 10th St, Bellevue, WA 98004 Phone: 425-502-3000 Fax: 844-620-1839
Bradley Allen Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11511 Ne 10th St, Bellevue, WA 98004 Phone: 425-502-3000 Fax: 425-502-3589
Diane Kastens, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 11511 Ne 10th St, Bellevue, WA 98004 Phone: 425-502-3000

Ms Mandalyn Musselman, CRNA - Medicare Nurse Anesthetist, Certified Registered in Bellevue, WA