Ms Indra Johansson-matthews, CRNA - Medicare Nurse Anesthetist, Certified Registered in Santa Rosa, CA

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Ms Indra Johansson-matthews, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Santa Rosa, California. Her current practice location is 401 Bicentennial Way, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at (707) 571-4000.

Ms Indra Johansson-matthews is licensed to practice in California (license number 1597) 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 1033278858.

Contact Information

Ms Indra Johansson-matthews, CRNA
401 Bicentennial Way,
Santa Rosa, CA 95403-2149
(707) 571-4000
Not Available

Map and Direction




Provider's Profile

Full NameMs Indra Johansson-matthews
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location401 Bicentennial Way, Santa Rosa, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033278858
  • Provider Enumeration Date: 12/07/2006
  • Last Update Date: 07/16/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7810979721
  • Enrollment ID: I20040603001450

Medical Identifiers

Medical identifiers for Ms Indra Johansson-matthews such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033278858NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 1597 (California)Primary
367500000XNurse Anesthetist, Certified Registered RN366332 (California)Secondary

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. Ms Indra Johansson-matthews allows following entities to bill medicare on her behalf.
Entity NamePremier Anesthesia Of California Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770691859
PECOS PAC ID: 5092897025
Enrollment ID: O20080130000444
Entity NameM Atchison Crna Inc A Professional Nursing Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073542213
PECOS PAC ID: 7416094461
Enrollment ID: O20091022000662
Entity NameSda Services Of Ca
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417428970
PECOS PAC ID: 5496094823
Enrollment ID: O20190302000074

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. Ms Indra Johansson-matthews 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
Ms Indra Johansson-matthews, CRNA
401 Bicentennial Way,
Santa Rosa, CA 95403-2149

Ph: (707) 571-4000		Ms Indra Johansson-matthews, CRNA
401 Bicentennial Way,
Santa Rosa, CA 95403-2149

Ph: (707) 571-4000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Santa Rosa, CA

Delilah Patterson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403
Phone: 707-393-4616    
Ramona Jane Chandler, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 401 Bicentennial Way Dept Of, Santa Rosa, CA 95403
Phone: 707-393-4000    
Mr. Gregory Lorne Groeneveld, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403
Phone: 170-571-4000    Fax: 707-836-0173
Mrs. Merri Beth Callender, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 401 Bicentennial, Kaiser, Santa Rosa, CA 95403
Phone: 707-571-4616    
Michael D Chevlen, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403
Phone: 310-274-7515    
Ms. Fiona Mary Cunningham, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403
Phone: 510-610-9642    

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.