Gavin Bruderer, CRNA, MSNA - Medicare Nurse Anesthetist, Certified Registered in Caldwell, ID

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Gavin Bruderer, CRNA, MSNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Caldwell, Idaho. His current practice location is 1717 Arlington Ave, Caldwell, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 459-4641.

Gavin Bruderer is licensed to practice in Idaho (license number 57794) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1427730910.

Contact Information

Gavin Bruderer, CRNA, MSNA
1717 Arlington Ave,
Caldwell, ID 83605-4802
(208) 459-4641
Not Available

Map and Direction




Provider's Profile

Full NameGavin Bruderer
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location1717 Arlington Ave, Caldwell, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427730910
  • Provider Enumeration Date: 08/03/2023
  • Last Update Date: 09/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1850743774
  • Enrollment ID: I20240116004493

Medical Identifiers

Medical identifiers for Gavin Bruderer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427730910NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 11277587-3102 (Utah)Secondary
367500000XNurse Anesthetist, Certified Registered 57794 (Idaho)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. Gavin Bruderer allows following entities to bill medicare on his behalf.
Entity NameAnesthesia Consulting Partners Idaho Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568241362
PECOS PAC ID: 5092164806
Enrollment ID: O20231205002846

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. Gavin Bruderer 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
Gavin Bruderer, CRNA, MSNA
17654 N Newdale Ave,
Nampa, ID 83687-4819

Ph: (208) 709-2425		Gavin Bruderer, CRNA, MSNA
1717 Arlington Ave,
Caldwell, ID 83605-4802

Ph: (208) 459-4641

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Caldwell, ID

Larry Edgerton, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1717 Arlington Ave, Caldwell, ID 83605
Phone: 208-455-3940    
Daniel Bonilla, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1717 Arlington Ave, Caldwell, ID 83605
Phone: 208-459-4641    
Shad B Westover, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 1717 Arlington Ave, Caldwell, ID 83605
Phone: 208-455-4009    

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.