Mr David Jonathan Butlak, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Statesville, NC

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Mr David Jonathan Butlak, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Statesville, North Carolina. He graduated from nursing school in 2000 and has 25 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Carolina Anesthesia Associates Pa, Charlotte Gastroenterology And Hepatology Pllc, Carolina Regional Anesthesia Pllc, Chs Anesthesia Services Group Inc and his current practice location is 218 Old Mocksville Rd, Statesville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 838-7570.

Mr David Jonathan Butlak is licensed to practice in North Carolina (license number 160852) 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 1881656189.

Contact Information

Mr David Jonathan Butlak, CRNA
218 Old Mocksville Rd,
Statesville, NC 28625-1930
(704) 838-7570
Not Available

Map and Direction




Provider's Profile

Full NameMr David Jonathan Butlak
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience25 Years
Location218 Old Mocksville Rd, Statesville, North Carolina
Accepts Medicare AssignmentsYes. 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 David Jonathan Butlak graduated from nursing school in 2000
  NPI Data:
  • NPI Number: 1881656189
  • Provider Enumeration Date: 04/04/2006
  • Last Update Date: 02/28/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 7719928712
  • Enrollment ID: I20050519001000

Medical Identifiers

Medical identifiers for Mr David Jonathan Butlak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881656189NPI-NPPES
AN1433MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 160852 (North Carolina)Primary
367500000XNurse Anesthetist, Certified Registered 2690 (South Carolina)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Carolinas Medical Center-pinevilleCharlotte, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carolina Anesthesia Associates Pa145625105762
Charlotte Gastroenterology And Hepatology Pllc387048941269
Carolina Regional Anesthesia Pllc549692176947
Chs Anesthesia Services Group Inc5799007324633

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 David Jonathan Butlak allows following entities to bill medicare on his behalf.
Entity NameCarolina Anesthesia Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699723791
PECOS PAC ID: 1456251057
Enrollment ID: O20040115000938
Entity NameCharlotte Gastroenterology & Hepatology Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730100801
PECOS PAC ID: 3870489412
Enrollment ID: O20040223000424
Entity NameEast Carolina Anesthesia Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205996519
PECOS PAC ID: 5092720813
Enrollment ID: O20060215000791
Entity NameCharlotte Gastroenterology & Hepatology Pllc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1619124401
PECOS PAC ID: 3870489412
Enrollment ID: O20070922000019
Entity NameCharlotte Gastroenterology & Hepatology Pllc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1851548655
PECOS PAC ID: 3870489412
Enrollment ID: O20070922000030
Entity NameCarolina Regional Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891072609
PECOS PAC ID: 5496921769
Enrollment ID: O20120109000406
Entity NameChs Anesthesia Services Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346649415
PECOS PAC ID: 5799007324
Enrollment ID: O20141209001856

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 David Jonathan Butlak 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
Mr David Jonathan Butlak, CRNA
200 Whiterock Dr,
Mount Holly, NC 28120-8101

Ph: (704) 326-6886		Mr David Jonathan Butlak, CRNA
218 Old Mocksville Rd,
Statesville, NC 28625-1930

Ph: (704) 838-7570

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Statesville, NC

Mr. Todd Yost Sluder, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 218 Old Mocksville Rd, Statesville, NC 28625
Phone: 704-838-7570    Fax: 704-838-7261
Karen Kauffman, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 557 Brookdale Dr, Statesville, NC 28677
Phone: 704-873-5561    Fax: 704-878-4611
Barbara Lee Thomas, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 557 Brookdale Dr, Statesville, NC 28677
Phone: 704-873-5561    
Stacey Schlesinger, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 557 Brookdale Dr, Statesville, NC 28677
Phone: 704-873-5661    
Sylvia Self, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 557 Brookdale Dr, Statesville, NC 28677
Phone: 704-873-5661    Fax: 704-878-4611
Karen Hensley, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 557 Brookdale Dr, Statesville, NC 28677
Phone: 704-873-5661    
James Cowan, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 557 Brookdale Dr, Statesville, NC 28677
Phone: 704-873-5661    

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.