Noe Sepulveda, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Elmer, New Jersey. He graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Virtua Medical Group, Pa and his current practice location is
501 W Front St, Elmer, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(856) 363-1000.
Noe Sepulveda is licensed to practice in New Jersey (license number 26NJ00207900) 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 1972688174.
Provider's Profile
| Full Name | Noe Sepulveda |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 18 Years |
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| Location | 501 W Front St, Elmer, New Jersey |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Noe Sepulveda graduated from nursing school in 2006
NPI Data:
- NPI Number: 1972688174
- Provider Enumeration Date: 10/26/2006
- Last Update Date: 10/25/2011
Medicare PECOS Information:
- PECOS PAC ID: 2365549383
- Enrollment ID: I20070525000058
Medical Identifiers
Medical identifiers for Noe Sepulveda such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972688174 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 26NR10556800 (New Jersey) | Secondary |
| 163W00000X | Registered Nurse | RN354200L (Pennsylvania) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 26NJ00207900 (New Jersey) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Virtua Medical Group, Pa | 9830222397 | 1226 |
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. Noe Sepulveda allows following entities to bill medicare on his behalf.
| Entity Name | West Jersey Anesthesia Associate Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609861947
PECOS PAC ID: 6507859386
Enrollment ID: O20040407000191 |
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| Entity Name | Virtua Medical Group, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649226515
PECOS PAC ID: 9830222397
Enrollment ID: O20100804000338 |
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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. Noe Sepulveda 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 |
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Noe Sepulveda, CRNA
Po Box 650782,
Dallas, TX 75265-0782
Ph: (302) 733-0806 | Noe Sepulveda, CRNA
501 W Front St,
Elmer, NJ 08318-2101
Ph: (856) 363-1000 |
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