Benjamin James Dehaan, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Cadillac, Michigan. He graduated from nursing school in 2022 and has 3 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Anesthesia Medical Group, P.c. and his current practice location is
400 Hobart St, Cadillac, Michigan. You can reach out to his office (for appointments etc.) via phone at
(231) 876-7301.
Benjamin James Dehaan is licensed to practice in Michigan (license number 1700540663) 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 1700540663.
Provider's Profile
| Full Name | Benjamin James Dehaan |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 3 Years |
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| Location | 400 Hobart St, Cadillac, Michigan |
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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:
- Benjamin James Dehaan graduated from nursing school in 2022
NPI Data:
- NPI Number: 1700540663
- Provider Enumeration Date: 10/27/2021
- Last Update Date: 06/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 0941673073
- Enrollment ID: I20231104000198
Medical Identifiers
Medical identifiers for Benjamin James Dehaan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1700540663 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 203406 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 1700540663 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Anesthesia Medical Group, P.c. | 6901702307 | 388 |
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. Benjamin James Dehaan allows following entities to bill medicare on his behalf.
| Entity Name | Anesthesia Medical Group, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215932413
PECOS PAC ID: 6901702307
Enrollment ID: O20031208000822 |
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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. Benjamin James Dehaan 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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Benjamin James Dehaan, CRNA
1105 Sixth St,
Traverse City, MI 49684-2345
Ph: (231) 935-5000 | Benjamin James Dehaan, CRNA
400 Hobart St,
Cadillac, MI 49601-2331
Ph: (231) 876-7301 |
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