Mark R Dahlquist, CRNA in Sioux Falls, SD - Medicare Nurse Anesthetist, Certified Registered

Mark R Dahlquist, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Sioux Falls, South Dakota. His current practice location is 800 E 21st St, Sioux Falls, South Dakota. You can reach out to his office (for appointments etc.) via phone at (605) 322-2754.

Mark R Dahlquist is licensed to practice in South Dakota (license number R019050) 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 1225044118.

Contact Information

	Mark R Dahlquist, CRNA
	800 E 21st St, Sioux Falls, SD 57105-1016
	(605) 322-2754
	(605) 322-2727

Map and Direction

Provider's Profile

Full Name	Mark R Dahlquist
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	800 E 21st St, Sioux Falls, South Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225044118
Provider Enumeration Date: 07/31/2006
Last Update Date: 02/21/2008

Medicare PECOS Information:

PECOS PAC ID: 3072529460
Enrollment ID: I20060222000269

Medical Identifiers

Medical identifiers for Mark R Dahlquist such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225044118	NPI	-	NPPES
0065156	Other	SD	SD BC PROVIDER #
013K2DA	Other	FM	MN BC PROVIDER #
R019050	Other	SD	DAKOTACARE PROVIDER #
2120394	Medicaid	IA
460224743-57105-AE54	Other	SD	TRICARE PROVIDER #
5752054	Medicaid	SD
46022474348	Medicaid	NE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	R019050 (South Dakota)	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. Mark R Dahlquist allows following entities to bill medicare on his behalf.

Entity Name	Avera Mckennan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699009944 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117

Entity Name	Huron Regional Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154312429 PECOS PAC ID: 2769393388 Enrollment ID: O20040123000946

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. Mark R Dahlquist 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
Mark R Dahlquist, CRNA 800 E 21st St, Sioux Falls, SD 57105-1016 Ph: (605) 322-2754	Mark R Dahlquist, CRNA 800 E 21st St, Sioux Falls, SD 57105-1016 Ph: (605) 322-2754

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Sioux Falls, SD

Jedd D Bialas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 W 18th St, Sioux Falls, SD 57105 Phone: 605-333-1000
Aaron Daniel Mortensen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 W 18th St, Sioux Falls, SD 57105 Phone: 605-333-1000
Austin Wade Fox, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1325 S Cliff Ave, Sioux Falls, SD 57105 Phone: 605-322-8000
Paul E Gilmore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1305 W 18th St, Sioux Falls, SD 57105 Phone: 605-333-1000
John A Lyle, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 800 E 21st St, Sioux Falls, SD 57105 Phone: 605-322-2754 Fax: 605-322-2727
Christopher Brusseau, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 W 18th Street, Anesthesia Department, Sioux Falls, SD 57117 Phone: 605-312-1225 Fax: 605-312-1226
Gay J Heitmann, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1305 W 18th St, Sioux Falls, SD 57105 Phone: 605-333-1000

Mark R Dahlquist, CRNA - Medicare Nurse Anesthetist, Certified Registered in Sioux Falls, SD