Clint B Pitchforth, CRNA in Delta, CO - Medicare Certified Registered Nurse Anesthetist (crna)

Clint B Pitchforth, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Delta, Colorado. He graduated from nursing school in 2006 and has 19 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice La Paz Regional Hospital Inc and his current practice location is 1501 E 3rd St, Delta, Colorado. You can reach out to his office (for appointments etc.) via phone at (970) 874-7681.

Clint B Pitchforth is licensed to practice in Colorado (license number 100093) 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 1053603993.

Contact Information

	Clint B Pitchforth, CRNA
	1501 E 3rd St, Delta, CO 81416-2815
	(970) 874-7681
	(970) 874-6400

Map and Direction

Provider's Profile

Full Name	Clint B Pitchforth
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	19 Years
Location	1501 E 3rd St, Delta, Colorado
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Clint B Pitchforth graduated from nursing school in 2006

NPI Data:

NPI Number: 1053603993
Provider Enumeration Date: 05/11/2011
Last Update Date: 03/11/2021

Medicare PECOS Information:

PECOS PAC ID: 7214100627
Enrollment ID: I20201020000372

Medical Identifiers

Medical identifiers for Clint B Pitchforth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053603993	NPI	-	NPPES
634497	Medicaid	AZ
1053603993	Medicaid	UT
25670875	Medicaid	CO
69837252	Medicaid	NM
NMAAA1472	Other	NM	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	CRNA-01147 (New Mexico)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	250160 (Arizona)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	100093 (Colorado)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
La Paz Regional Hospital	Parker, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
La Paz Regional Hospital Inc	1557273356	47

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. Clint B Pitchforth allows following entities to bill medicare on his behalf.

Entity Name	Valley Anesthesiology Consultants Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285660704 PECOS PAC ID: 4880591841 Enrollment ID: O20031217000620

Entity Name	La Paz Regional Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053684555 PECOS PAC ID: 1557273356 Enrollment ID: O20031219000694

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. Clint B Pitchforth 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
Clint B Pitchforth, CRNA Po Box 10100, Delta, CO 81416-0008 Ph: (970) 874-7681	Clint B Pitchforth, CRNA 1501 E 3rd St, Delta, CO 81416-2815 Ph: (970) 874-7681

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Delta, CO

Mr. Carey B Simon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1501 E 3rd St, Delta, CO 81416 Phone: 970-874-2255
Kimberley W Brighton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1501 E 3rd St, Delta, CO 81416 Phone: 970-874-7681
Christine A Hamilton, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1501 E 3rd St, Delta, CO 81416 Phone: 970-874-7681
Joshua Lake, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1501 E 3rd St, Delta, CO 81416 Phone: 970-874-7681
Mr. Chris John Marshall, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1501 E 3rd St, Delta, CO 81416 Phone: 970-874-7681
Jerald Martin Young, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1501 East 3rd Street, Delta County Memorial Hospital, Delta, CO 81416 Phone: 970-874-7681 Fax: 970-874-2227

Clint B Pitchforth, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Delta, CO