Grant Tyler Brekken, CRNA in Roseville, MN - Medicare Nurse Anesthetist, Certified Registered

Grant Tyler Brekken, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Roseville, Minnesota. His current practice location is 2700 Snelling Ave N, Ste 400, Roseville, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 697-5863.

Grant Tyler Brekken is licensed to practice in Minnesota (license number 104950) 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 1881084408.

Contact Information

	Grant Tyler Brekken, CRNA
	2700 Snelling Ave N, Ste 400, Roseville, MN 55113-1719
	(651) 697-5863
	(855) 826-4934

Map and Direction

Provider's Profile

Full Name	Grant Tyler Brekken
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	2700 Snelling Ave N, Roseville, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881084408
Provider Enumeration Date: 02/03/2015
Last Update Date: 02/03/2015

Medicare PECOS Information:

PECOS PAC ID: 4789904913
Enrollment ID: I20150528002935

Medical Identifiers

Medical identifiers for Grant Tyler Brekken such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881084408	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	104950 (Minnesota)	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. Grant Tyler Brekken allows following entities to bill medicare on his behalf.

Entity Name	Metropolitan Anesthesia Network Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558314427 PECOS PAC ID: 5698689123 Enrollment ID: O20031118000579

Entity Name	Mngi Digestive Health Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609804541 PECOS PAC ID: 8123016557 Enrollment ID: O20040504001467

Entity Name	Twin Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265105332 PECOS PAC ID: 2163888793 Enrollment ID: O20240816002642

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. Grant Tyler Brekken 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
Grant Tyler Brekken, CRNA 15525 Eagle Shore Dr, Apple Valley, MN 55124-7831 Ph: (612) 247-4626	Grant Tyler Brekken, CRNA 2700 Snelling Ave N, Ste 400, Roseville, MN 55113-1719 Ph: (651) 697-5863

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Roseville, MN

Mrs. Justine Marie Lindgren, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2700 Snelling Ave N Ste 400, Roseville, MN 55113 Phone: 651-697-5863
Stephanie Maryann Donnelly, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2700 Snelling Ave N, Roseville, MN 55113 Phone: 651-251-8025
Emily Kary, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2700 Snelling Ave N, Ste 400, Roseville, MN 55113 Phone: 651-697-5863 Fax: 855-826-4934
Holly June Haehnel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2700 Snelling Ave N Ste 400, Roseville, MN 55113 Phone: 651-697-5876
Sarah Mary Paulseth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2700 Snelling Ave N, Suite 400, Roseville, MN 55113 Phone: 651-697-5863
Jacqueline Kay Ford Dufour, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2700 Snelling Ave N, Suite 400, Roseville, MN 55113 Phone: 651-697-5863
Joel Walgenbach, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2700 Snelling Ave N, Suite 400, Roseville, MN 55113 Phone: 651-697-5863

Grant Tyler Brekken, CRNA - Medicare Nurse Anesthetist, Certified Registered in Roseville, MN