Danielle Lauren Carlson, CRNA in Fort Wayne, IN - Medicare Nurse Anesthetist, Certified Registered

Danielle Lauren Carlson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Wayne, Indiana. Her current practice location is 5734 Coventry Lane, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 436-7875.

Danielle Lauren Carlson is licensed to practice in Missouri (license number 100169) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1700296324.

Contact Information

	Danielle Lauren Carlson, CRNA
	5734 Coventry Lane, Fort Wayne, IN 47804-7141
	(260) 436-7875
	(260) 432-9812

Map and Direction

Provider's Profile

Full Name	Danielle Lauren Carlson
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	5734 Coventry Lane, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700296324
Provider Enumeration Date: 05/05/2014
Last Update Date: 05/21/2014

Medicare PECOS Information:

PECOS PAC ID: 7214152537
Enrollment ID: I20220113000560

Medical Identifiers

Medical identifiers for Danielle Lauren Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700296324	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	100169 (Missouri)	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. Danielle Lauren Carlson allows following entities to bill medicare on her behalf.

Entity Name	Good Samaritan Regional Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487758801 PECOS PAC ID: 1658272059 Enrollment ID: O20040119000325

Entity Name	St Marys Hospital Centralia Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770687196 PECOS PAC ID: 6709788920 Enrollment ID: O20040127000118

Entity Name	G & G Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487020111 PECOS PAC ID: 4981912607 Enrollment ID: O20150930000831

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. Danielle Lauren Carlson 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
Danielle Lauren Carlson, CRNA 609 S Howell Ave, West Plains, MO 65775-3747 Ph: (636) 233-2266	Danielle Lauren Carlson, CRNA 5734 Coventry Lane, Fort Wayne, IN 47804-7141 Ph: (260) 436-7875

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fort Wayne, IN

Anthony Dzigbordi, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5050 N Clinton St, Fort Wayne, IN 46825 Phone: 260-484-8551
Lisa A Tompa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5050 N Clinton St, Fort Wayne, IN 46825 Phone: 260-484-8551 Fax: 260-482-5060
Nicole Borem Schickel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5734 Coventry Ln, Fort Wayne, IN 46804 Phone: 260-436-7875
Blair John Walker, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-416-3000
Madeline Sikes Brooks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825 Phone: 260-436-7875 Fax: 260-432-9812
Dr. Jennifer Hager, DNP, MBA, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825 Phone: 260-436-7875 Fax: 260-432-9812
Lisa Osborne, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5734 Coventry Ln, Fort Wayne, IN 46804 Phone: 260-436-7875

Danielle Lauren Carlson, CRNA - Medicare Nurse Anesthetist, Certified Registered in Fort Wayne, IN