Daniel Etheridge, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Bowling Green, KY

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Daniel Etheridge, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Bowling Green, Kentucky. He graduated from nursing school in 2013 and has 13 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Commonwealth Health Corporation, Inc. and his current practice location is 250 Park St, Bowling Green, Kentucky. You can reach out to his office (for appointments etc.) via phone at (270) 393-1912.

Daniel Etheridge is licensed to practice in Kentucky (license number 3008449) 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 1043649809.

Contact Information

Daniel Etheridge, CRNA
250 Park St,
Bowling Green, KY 42101-1760
(270) 393-1912
(270) 393-1913

Map and Direction




Provider's Profile

Full NameDaniel Etheridge
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience13 Years
Location250 Park St, Bowling Green, Kentucky
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Daniel Etheridge graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1043649809
  • Provider Enumeration Date: 11/02/2013
  • Last Update Date: 01/27/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 5294964532
  • Enrollment ID: I20140206001291

Medical Identifiers

Medical identifiers for Daniel Etheridge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043649809NPI-NPPES
7100275390MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 3008449 (Kentucky)Primary
390200000XStudent In An Organized Health Care Education/training Program 155950 (Tennessee)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
The Medical Center At Bowling GreenBowling green, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Commonwealth Health Corporation, Inc.5496667628268

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. Daniel Etheridge allows following entities to bill medicare on his behalf.
Entity NameCommonwealth Health Corporation, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881109304
PECOS PAC ID: 5496667628
Enrollment ID: O20040916000800
Entity NameInterventional Pain Specialists of Bowling Green PLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033356274
PECOS PAC ID: 6608931035
Enrollment ID: O20090218000135
Entity NameLifelinc Anesthesia PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801021464
PECOS PAC ID: 0941347447
Enrollment ID: O20140522001233

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. Daniel Etheridge 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
Daniel Etheridge, CRNA
825 2nd Ave, Suite C6,
Bowling Green, KY 42101-1786

Ph: (270) 393-1912		Daniel Etheridge, CRNA
250 Park St,
Bowling Green, KY 42101-1760

Ph: (270) 393-1912

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Bowling Green, KY

Christian Michael Kranz, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 250 Park St, Bowling Green, KY 42101
Phone: 270-393-1912    Fax: 270-393-1913
Matthew Duane Harmon, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 250 Park St, Bowling Green, KY 42101
Phone: 270-393-1912    Fax: 270-393-1913
Cody S. Campbell, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 350 Park St, Suite 203b, Bowling Green, KY 42101
Phone: 270-393-1912    Fax: 270-393-1913
Miss Heather G Childress, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 350 Park St, Suite 203b, Bowling Green, KY 42101
Phone: 270-393-1912    Fax: 270-393-1913
Benjamin Ryan Davis, CRNA, RN
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 250 Park St, Bowling Green, KY 42101
Phone: 270-745-1000    
Madison Milam,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1801 Ashley Cir, Bowling Green, KY 42104
Phone: 270-793-1000    
Kristin K Bateman,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 250 Park St, Bowling Green, KY 42101
Phone: 270-393-1912    Fax: 270-393-1913

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.