Bruce S David, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Benton, Kentucky. His current practice location is
615 Old Symsonia Rd, Benton, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 527-4800.
Bruce S David is licensed to practice in Kentucky (license number 876A) 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 1922190412.
Provider's Profile
| Full Name | Bruce S David |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 615 Old Symsonia Rd, Benton, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1922190412
- Provider Enumeration Date: 09/29/2006
- Last Update Date: 11/30/2016
Medicare PECOS Information:
- PECOS PAC ID: 1254221922
- Enrollment ID: I20040317000330
Medical Identifiers
Medical identifiers for Bruce S David such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1922190412 | NPI | - | NPPES |
| 74087610 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367500000X | Nurse Anesthetist, Certified Registered | 876A (Kentucky) | 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. Bruce S David allows following entities to bill medicare on his behalf.
| Entity Name | Marshall County Hospital District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689778250 PECOS PAC ID: 3375581986 Enrollment ID: O20050422000645 |
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| Entity Name | Crittenden Community Hospital Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275097339 PECOS PAC ID: 8426398793 Enrollment ID: O20190606001972 |
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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. Bruce S David 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 |
Bruce S David, CRNA Po Box 755, Benton, KY 42025-0755 Ph: (270) 274-0480 | Bruce S David, CRNA 615 Old Symsonia Rd, Benton, KY 42025-5042 Ph: (270) 527-4800 |
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