Mr Walter R Fetterley Ii, CRNA in Boise, ID - Medicare Nurse Anesthetist, Certified Registered

Mr Walter R Fetterley Ii, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Boise, Idaho. His current practice location is 621 Reserve St, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 559-7162.

Mr Walter R Fetterley Ii is licensed to practice in Idaho (license number RNA-619) 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 1891803482.

Contact Information

	Mr Walter R Fetterley Ii, CRNA
	621 Reserve St, Boise, ID 83712-6354
	(208) 559-7162
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Walter R Fetterley Ii
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	621 Reserve St, Boise, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891803482
Provider Enumeration Date: 08/25/2006
Last Update Date: 11/20/2008

Medicare PECOS Information:

PECOS PAC ID: 8820033988
Enrollment ID: I20081015000732

Medical Identifiers

Medical identifiers for Mr Walter R Fetterley Ii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891803482	NPI	-	NPPES
807168100	Medicaid	ID
200576850A	Medicaid	KS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RNA-619 (Idaho)	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 Walter R Fetterley Ii allows following entities to bill medicare on his behalf.

Entity Name	Bend Anesthesiology Group, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467400200 PECOS PAC ID: 4880683788 Enrollment ID: O20040506001575

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 Walter R Fetterley Ii 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 Walter R Fetterley Ii, CRNA 621 Reserve St, Boise, ID 83712-6354 Ph: (208) 559-7162	Mr Walter R Fetterley Ii, CRNA 621 Reserve St, Boise, ID 83712-6354 Ph: (208) 559-7162

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Boise, ID

Allison Elisabeth May, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2222
Mr. Douglas Neurath, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 111 W State St, Boise, ID 83702 Phone: 208-336-0895
Jordan B Wolff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 111 W State St, Boise, ID 83702 Phone: 208-336-0895 Fax: 208-338-1796
Nathan S Call, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2222
Ashton Hope Mieritz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-2121
Kenneth Clark Stratton Jr., CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-2559
Diana San Juan Shimko, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-6416

Mr Walter R Fetterley Ii, CRNA - Medicare Nurse Anesthetist, Certified Registered in Boise, ID