Diana M Proctor, CRNA in Fredericksburg, VA - Medicare Nurse Anesthetist, Certified Registered

Diana M Proctor, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fredericksburg, Virginia. Her current practice location is 1001 Sam Perry Blvd, Fredericksburg, Virginia. You can reach out to her office (for appointments etc.) via phone at (540) 741-7614.

Diana M Proctor is licensed to practice in Virginia (license number 0024167767) 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 1568648822.

Contact Information

	Diana M Proctor, CRNA
	1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453
	(540) 741-7614
	Not Available

Map and Direction

Provider's Profile

Full Name	Diana M Proctor
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	1001 Sam Perry Blvd, Fredericksburg, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568648822
Provider Enumeration Date: 01/17/2008
Last Update Date: 10/28/2017

Medicare PECOS Information:

PECOS PAC ID: 8325114366
Enrollment ID: I20080827000660

Medical Identifiers

Medical identifiers for Diana M Proctor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568648822	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	0024167767 (Virginia)	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. Diana M Proctor allows following entities to bill medicare on her behalf.

Entity Name	American Anesthesiology Of Virginia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417994872 PECOS PAC ID: 6800790023 Enrollment ID: O20080812000606

Entity Name	Central Virginia Anesthesia Associates, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740820976 PECOS PAC ID: 8123438744 Enrollment ID: O20201110000211

Entity Name	Anesthesia Dynamics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20210305001705

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. Diana M Proctor 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
Diana M Proctor, CRNA 3100 Spring Forest Rd Ste 130, Raleigh, NC 27616-2880 Ph: (888) 280-9533	Diana M Proctor, CRNA 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 Ph: (540) 741-7614

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fredericksburg, VA

Melyssa Carroll Mooney, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-7614
Jennifer Lynn Bridy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-7614
Kelly N Petz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 800-394-4445 Fax: 706-955-0720
Amy Ann Uriell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-7614 Fax: 844-454-0171
Alexis Stadsklev, DNP APRN CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-1100
Rodger Alan Oren, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-7614
Jeanette Nargi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-7614 Fax: 540-741-7615

Diana M Proctor, CRNA - Medicare Nurse Anesthetist, Certified Registered in Fredericksburg, VA