Sophia Alexandra Erdahl, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Andover, Minnesota. She graduated from nursing school in 2023 and has 2 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice North Metro Anesthesia Services Pa, University Anesthesia Providers Llc and her current practice location is
15380 Cottonwood St Nw, Andover, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(612) 990-0883.
Sophia Alexandra Erdahl is licensed to practice in Minnesota (license number 2879) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1700490679.
Provider's Profile
| Full Name | Sophia Alexandra Erdahl |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 2 Years |
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| Location | 15380 Cottonwood St Nw, Andover, Minnesota |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Sophia Alexandra Erdahl graduated from nursing school in 2023
NPI Data:
- NPI Number: 1700490679
- Provider Enumeration Date: 09/08/2020
- Last Update Date: 09/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 4688023179
- Enrollment ID: I20231208002578
Medical Identifiers
Medical identifiers for Sophia Alexandra Erdahl such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700490679 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 2879 (Minnesota) | Primary |
| 163W00000X | Registered Nurse | 2225511 (Minnesota) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| North Metro Anesthesia Services Pa | 0648244152 | 14 |
| University Anesthesia Providers Llc | 7315986064 | 314 |
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. Sophia Alexandra Erdahl allows following entities to bill medicare on her behalf.
| Entity Name | North Metro Anesthesia Services Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457339780
PECOS PAC ID: 0648244152
Enrollment ID: O20040820001013 |
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| Entity Name | University Anesthesia Providers Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699711143
PECOS PAC ID: 7315986064
Enrollment ID: O20050502000881 |
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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. Sophia Alexandra Erdahl 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 |
|---|
Sophia Alexandra Erdahl,
15380 Cottonwood St Nw,
Andover, MN 55304-8503
Ph: (612) 990-0883 | Sophia Alexandra Erdahl,
15380 Cottonwood St Nw,
Andover, MN 55304-8503
Ph: (612) 990-0883 |
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