Mr Michael P Bruderly, CRNA in Beaver, PA - Medicare Nurse Anesthetist, Certified Registered

Mr Michael P Bruderly, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Beaver, Pennsylvania. His current practice location is 1000 Dutch Ridge Rd, Beaver, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (724) 773-4621.

Mr Michael P Bruderly is licensed to practice in Ohio (license number RN273624) 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 1588844179.

Contact Information

	Mr Michael P Bruderly, CRNA
	1000 Dutch Ridge Rd, Beaver, PA 15009-9727
	(724) 773-4621
	(724) 773-4696

Map and Direction

Provider's Profile

Full Name	Mr Michael P Bruderly
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	1000 Dutch Ridge Rd, Beaver, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588844179
Provider Enumeration Date: 11/12/2007
Last Update Date: 11/12/2007

Medicare PECOS Information:

PECOS PAC ID: 6002997236
Enrollment ID: I20080114000751

Medical Identifiers

Medical identifiers for Mr Michael P Bruderly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588844179	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN273624 (Ohio)	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. Mr Michael P Bruderly allows following entities to bill medicare on his behalf.

Entity Name	Dayton Anesthesia & Pain Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629401898 PECOS PAC ID: 8022245372 Enrollment ID: O20131212001655

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 Michael P Bruderly 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 Michael P Bruderly, CRNA 6432 W Garfield Rd, Salem, OH 44460-9220 Ph: (330) 502-7494	Mr Michael P Bruderly, CRNA 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 Ph: (724) 773-4621

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Beaver, PA

Kathleen Miller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Dutch Ridge Rd, Beaver, PA 15009 Phone: 724-773-4621 Fax: 724-773-4696
Ms. Mary Ellen Sichak, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Dutch Ridge Road, Beaver, PA 15009 Phone: 724-773-4621
Pamela A Mansell, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Dutch Ridge Rd, Beaver, PA 15009 Phone: 724-773-4621 Fax: 724-773-4696
David J Merulli, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Dutch Ridge Rd, Beaver, PA 15009 Phone: 724-773-4621 Fax: 724-773-4696
Iris Kuglics, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Dutch Ridge Rd, Beaver, PA 15009 Phone: 724-773-4621 Fax: 724-773-4696
Catherine F Hutsky, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Dutch Ridge Rd, Beaver, PA 15009 Phone: 724-773-4621 Fax: 724-773-4564
Matthew Nagy, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Dutch Ridge Rd Dept Of, Beaver, PA 15009 Phone: 724-728-7000

Mr Michael P Bruderly, CRNA - Medicare Nurse Anesthetist, Certified Registered in Beaver, PA