Sophia Alexandra Erdahl, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Andover, Minnesota. Her current practice location is
15380 Cottonwood St Nw, Andover, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(612) 990-0883.
Sophia Alexandra Erdahl is licensed to practice in Minnesota (license number 2879) 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 1700490679.
Provider's Profile
| Full Name | Sophia Alexandra Erdahl |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 15380 Cottonwood St Nw, Andover, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1700490679
- Provider Enumeration Date: 09/08/2020
- Last Update Date: 09/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 4688023179
- Enrollment ID: I20231208002578
Medical Identifiers
Medical identifiers for Sophia Alexandra Erdahl such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1700490679 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 2879 (Minnesota) | Primary |
| 163W00000X | Registered Nurse | 2225511 (Minnesota) | Secondary |
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. Sophia Alexandra Erdahl allows following entities to bill medicare on her behalf.
| Entity Name | North Metro Anesthesia Services Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457339780
PECOS PAC ID: 0648244152
Enrollment ID: O20040820001013 |
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| Entity Name | University Anesthesia Providers Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699711143
PECOS PAC ID: 7315986064
Enrollment ID: O20050502000881 |
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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. Sophia Alexandra Erdahl 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 |
|---|
Sophia Alexandra Erdahl,
15380 Cottonwood St Nw,
Andover, MN 55304-8503
Ph: (612) 990-0883 | Sophia Alexandra Erdahl,
15380 Cottonwood St Nw,
Andover, MN 55304-8503
Ph: (612) 990-0883 |
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