Mr Dale P Hotard Iii, CRNA in Vicksburg, MS - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Dale P Hotard Iii, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Vicksburg, Mississippi. He graduated from nursing school in 2016 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Anesthesia Consultants Pa and his current practice location is 103 Fairview Dr, Vicksburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (314) 258-1988.

Mr Dale P Hotard Iii is licensed to practice in Mississippi (license number 901422) 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 1609314400.

Contact Information

	Mr Dale P Hotard Iii, CRNA
	103 Fairview Dr, Vicksburg, MS 39180-8934
	(314) 258-1988
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Dale P Hotard Iii
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	9 Years
Location	103 Fairview Dr, Vicksburg, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Dale P Hotard Iii graduated from nursing school in 2016

NPI Data:

NPI Number: 1609314400
Provider Enumeration Date: 02/01/2017
Last Update Date: 09/17/2025

Medicare PECOS Information:

PECOS PAC ID: 7113295528
Enrollment ID: I20170607002058

Medical Identifiers

Medical identifiers for Mr Dale P Hotard Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609314400	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	4045094 (Kentucky)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	901422 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Merit Health River Region	Vicksburg, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Anesthesia Consultants Pa	4486637881	91

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. Mr Dale P Hotard Iii allows following entities to bill medicare on his behalf.

Entity Name	Anesthesia Consultants Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750300836 PECOS PAC ID: 4486637881 Enrollment ID: O20040608000711

Entity Name	Northstar Anesthesia Of Mississippi Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124415567 PECOS PAC ID: 1658682117 Enrollment ID: O20150624002329

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. Mr Dale P Hotard Iii 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
Mr Dale P Hotard Iii, CRNA 103 Fairview Dr, Vicksburg, MS 39180-8934 Ph: () -	Mr Dale P Hotard Iii, CRNA 103 Fairview Dr, Vicksburg, MS 39180-8934 Ph: (314) 258-1988

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Vicksburg, MS

Mr. Michael J Mcreynolds, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-831-1146
Richard M Stone Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5000
Christopher Sumrall, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-218-6136
Melanie Joan Waldrop, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2100 Hwy 61n, River Region Medical Center, Vicksburg, MS 39183 Phone: 601-883-5000
Mr. Michael Edward Killen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5707
Jackie L Benson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5000
Eric Yeager, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5708

Mr Dale P Hotard Iii, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Vicksburg, MS