Carly Callen Dunlap, - Medicare Certified Registered Nurse Anesthetist (crna) in Santa Rosa, CA

Carly Callen Dunlap, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Santa Rosa, California. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Mai Nursing Anesthesia Pc and her current practice location is 401 Bicentennial Way, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at (707) 393-4000.

Carly Callen Dunlap is licensed to practice in California (license number 95001476) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1699382325.

Contact Information

Carly Callen Dunlap,
401 Bicentennial Way,
Santa Rosa, CA 95403-2149
(707) 393-4000
Not Available

Map and Direction




Provider's Profile

Full NameCarly Callen Dunlap
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience5 Years
Location401 Bicentennial Way, Santa Rosa, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Carly Callen Dunlap graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1699382325
  • Provider Enumeration Date: 09/27/2020
  • Last Update Date: 05/01/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9739595232
  • Enrollment ID: I20210308002690

Medical Identifiers

Medical identifiers for Carly Callen Dunlap such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699382325NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 776904 (California)Secondary
367500000XNurse Anesthetist, Certified Registered 95001476 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mai Nursing Anesthesia Pc256785876431

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. Carly Callen Dunlap allows following entities to bill medicare on her behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710
Entity NameMaitran Consulting Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003572769
PECOS PAC ID: 2567858764
Enrollment ID: O20220414001359

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. Carly Callen Dunlap 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 AddressPractice Location Address
Carly Callen Dunlap,
5724 Evening Way,
Santa Rosa, CA 95409-4347

Ph: (916) 215-4463
Carly Callen Dunlap,
401 Bicentennial Way,
Santa Rosa, CA 95403-2149

Ph: (707) 393-4000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Santa Rosa, CA

Delilah Patterson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403
Phone: 707-393-4616    
Ramona Jane Chandler, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 401 Bicentennial Way Dept Of, Santa Rosa, CA 95403
Phone: 707-393-4000    
Mr. Gregory Lorne Groeneveld, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403
Phone: 170-571-4000    Fax: 707-836-0173
Ms. Indra Johansson-matthews, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403
Phone: 707-571-4000    
Mrs. Merri Beth Callender, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 401 Bicentennial, Kaiser, Santa Rosa, CA 95403
Phone: 707-571-4616    
Michael D Chevlen, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403
Phone: 310-274-7515    
Ms. Fiona Mary Cunningham, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403
Phone: 510-610-9642    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.