Mrs Diane Perine Fontana, CRNA in Charlotte, NC - Medicare Nurse Anesthetist, Certified Registered

Mrs Diane Perine Fontana, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Charlotte, North Carolina. Her current practice location is 200 Hawthorne Ln, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 384-4239.

Mrs Diane Perine Fontana is licensed to practice in North Carolina (license number 182054) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114926110.

Contact Information

	Mrs Diane Perine Fontana, CRNA
	200 Hawthorne Ln, Charlotte, NC 28204-2515
	(704) 384-4239
	(704) 384-5636

Map and Direction

Provider's Profile

Full Name	Mrs Diane Perine Fontana
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	200 Hawthorne Ln, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114926110
Provider Enumeration Date: 07/20/2005
Last Update Date: 05/14/2024

Medicare PECOS Information:

PECOS PAC ID: 2062501679
Enrollment ID: I20130917000385

Medical Identifiers

Medical identifiers for Mrs Diane Perine Fontana such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114926110	NPI	-	NPPES
8051588	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	2013006661 (Missouri)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	182054 (North Carolina)	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. Mrs Diane Perine Fontana allows following entities to bill medicare on her behalf.

Entity Name	Washington University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528005642 PECOS PAC ID: 9830008770 Enrollment ID: O20031118001093

Entity Name	Metro-west Anesthesia Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245427335 PECOS PAC ID: 2163329921 Enrollment ID: O20031218000563

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. Mrs Diane Perine Fontana 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
Mrs Diane Perine Fontana, CRNA 200 Hawthrone Ln, Charlotte, NC 28204-2515 Ph: (704) 384-4239	Mrs Diane Perine Fontana, CRNA 200 Hawthorne Ln, Charlotte, NC 28204-2515 Ph: (704) 384-4239

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Charlotte, NC

Welo Sylvie Olenga, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204 Phone: 704-384-4239 Fax: 704-384-5636
Alexandru Daniel Vlasin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000
Mr. Kevin E. West, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8983 Fax: 704-355-8994
Mrs. Colleen M. Ebner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8983 Fax: 704-355-8994
Mrs. Christine E. Jones, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8983 Fax: 704-355-8994
Meredith L Draper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000
Alison Anne Woodruff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000

Mrs Diane Perine Fontana, CRNA - Medicare Nurse Anesthetist, Certified Registered in Charlotte, NC