Bradley Deters, CRNA in Williamsport, PA - Medicare Nurse Anesthetist, Certified Registered

Bradley Deters, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Williamsport, Pennsylvania. His current practice location is 700 High St, Williamsport, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 321-1279.

Bradley Deters is licensed to practice in Pennsylvania (license number RN714343) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1447954128.

Contact Information

	Bradley Deters, CRNA
	700 High St, Williamsport, PA 17701-3100
	(570) 321-1279
	Not Available

Map and Direction

Provider's Profile

Full Name	Bradley Deters
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	700 High St, Williamsport, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447954128
Provider Enumeration Date: 03/28/2023
Last Update Date: 07/24/2023

Medicare PECOS Information:

PECOS PAC ID: 6204294408
Enrollment ID: I20230621000187

Medical Identifiers

Medical identifiers for Bradley Deters such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447954128	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN714343 (Pennsylvania)	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. Bradley Deters allows following entities to bill medicare on his behalf.

Entity Name	Susquehanna Physician Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639114689 PECOS PAC ID: 2264336460 Enrollment ID: O20040615001450

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. Bradley Deters 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
Bradley Deters, CRNA 1201 Grampian Blvd, Williamsport, PA 17701-1900 Ph: () -	Bradley Deters, CRNA 700 High St, Williamsport, PA 17701-3100 Ph: (570) 321-1279

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Williamsport, PA

Jayson Miller, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 338 Eldred St, Williamsport, PA 17701 Phone: 570-971-5153
Eric Cipcic, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 High St, Williamsport Hospital & Medical Center, Williamsport, PA 17701 Phone: 570-321-2385
Timothy Douglass, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 High St, Williamsport, PA 17701 Phone: 570-321-2385
Lynne Brown, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 High St, Williamsport, PA 17701 Phone: 570-321-2385
David Rhodes, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 High St, Williamsport Hospital & Medical Center, Williamsport, PA 17701 Phone: 570-321-2385
David Hoffman, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 High St, Williamsport, PA 17701 Phone: 570-321-1000
Ms. Leila Adhiambo Otieno, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 High St, Williamsport, PA 17701 Phone: 570-321-1000

Bradley Deters, CRNA - Medicare Nurse Anesthetist, Certified Registered in Williamsport, PA