Dr David L Cottle Jr, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Chapin, South Carolina. He graduated from nursing school in 2013 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Beach Anesthesia, Llc and his current practice location is
148 Almofini Ln, Chapin, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(361) 960-1581.
Dr David L Cottle Jr is licensed to practice in South Carolina (license number 27578) 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 1508104241.
Provider's Profile
| Full Name | Dr David L Cottle Jr |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 12 Years |
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| Location | 148 Almofini Ln, Chapin, South Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr David L Cottle Jr graduated from nursing school in 2013
NPI Data:
- NPI Number: 1508104241
- Provider Enumeration Date: 01/30/2013
- Last Update Date: 03/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 5991199002
- Enrollment ID: I20231020003004
Medical Identifiers
Medical identifiers for Dr David L Cottle Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508104241 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 27578 (South Carolina) | Primary |
| 163W00000X | Registered Nurse | 731071 (Texas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP123269 (Texas) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Beach Anesthesia, Llc | 6103924014 | 77 |
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. Dr David L Cottle Jr allows following entities to bill medicare on his behalf.
| Entity Name | Beach Anesthesia, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215061429
PECOS PAC ID: 6103924014
Enrollment ID: O20070530000620 |
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| Entity Name | Sc Anesthesiology Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205109428
PECOS PAC ID: 1052573565
Enrollment ID: O20120430000408 |
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| Entity Name | Medstream Anesthesia Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649616160
PECOS PAC ID: 7416198049
Enrollment ID: O20140304001021 |
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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. Dr David L Cottle Jr 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 |
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Dr David L Cottle Jr, CRNA
148 Almofini Ln,
Chapin, SC 29036-6316
Ph: (361) 960-1581 | Dr David L Cottle Jr, CRNA
148 Almofini Ln,
Chapin, SC 29036-6316
Ph: (361) 960-1581 |
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