Mr Gustaaf Cornelis Van Soestbergen, CRNA MSN MPA in Lebanon, NH - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Gustaaf Cornelis Van Soestbergen, CRNA MSN MPA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lebanon, New Hampshire. He graduated from nursing school in 2003 and has 22 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Maple Gate Anesthesiologists, P.c. and his current practice location is 1 Medical Center Dr, Lebanon, New Hampshire. You can reach out to his office (for appointments etc.) via phone at (603) 650-5922.

Mr Gustaaf Cornelis Van Soestbergen is licensed to practice in North Carolina (license number 173) 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 1033211131.

Contact Information

	Mr Gustaaf Cornelis Van Soestbergen, CRNA MSN MPA
	1 Medical Center Dr, Lebanon, NH 03756-0001
	(603) 650-5922
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Gustaaf Cornelis Van Soestbergen
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	22 Years
Location	1 Medical Center Dr, Lebanon, New Hampshire
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 Gustaaf Cornelis Van Soestbergen graduated from nursing school in 2003

NPI Data:

NPI Number: 1033211131
Provider Enumeration Date: 09/01/2006
Last Update Date: 07/29/2024

Medicare PECOS Information:

PECOS PAC ID: 3375527443
Enrollment ID: I20241108000443

Medical Identifiers

Medical identifiers for Mr Gustaaf Cornelis Van Soestbergen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033211131	NPI	-	NPPES
NAN754	Medicaid	SC
8052174	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	0105995 (North Carolina)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	086274-23 (New Hampshire)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	173 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kaleida Health	Buffalo, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Maple Gate Anesthesiologists, P.c.	8022913839	130

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 Gustaaf Cornelis Van Soestbergen allows following entities to bill medicare on his behalf.

Entity Name	Maple Gate Anesthesiologists, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528072709 PECOS PAC ID: 8022913839 Enrollment ID: O20031204000851

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 Gustaaf Cornelis Van Soestbergen 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 Gustaaf Cornelis Van Soestbergen, CRNA MSN MPA 1 Medical Center Dr, Lebanon, NH 03756-0001 Ph: (603) 650-5922	Mr Gustaaf Cornelis Van Soestbergen, CRNA MSN MPA 1 Medical Center Dr, Lebanon, NH 03756-0001 Ph: (603) 650-5922

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Lebanon, NH

Patrick C Keane, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 215-589-0469
Frederic Jon Schaafsma, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5922
Jeffrey C. Horstman, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5922
Sarah Marie Zack Hewitt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Anesthesiology, Lebanon, NH 03756 Phone: 603-650-5922
Dr. Taylor Chase Merritt, DNAP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr # 1000, Lebanon, NH 03756 Phone: 603-650-5000 Fax: 603-650-5000
Jennifer L Dorsey, APRN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr # 1000, Lebanon, NH 03756 Phone: 603-650-5000 Fax: 603-650-5000

Mr Gustaaf Cornelis Van Soestbergen, CRNA MSN MPA - Medicare Certified Registered Nurse Anesthetist (crna) in Lebanon, NH