Steven Eric Vandiver, RN in Kingsport, TN - Medicare Certified Registered Nurse Anesthetist (crna)

Steven Eric Vandiver, RN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Kingsport, Tennessee. He went to Virginia Commonwealth University, School Of Medicine and graduated in 2020 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Paragon Anesthesia Pc and his current practice location is 10415 Wallace Alley St, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 390-0451.

Steven Eric Vandiver is licensed to practice in Tennessee (license number 29061) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104421213.

Contact Information

	Steven Eric Vandiver, RN
	10415 Wallace Alley St, Kingsport, TN 37663-3936
	(423) 390-0451
	Not Available

Map and Direction

Provider's Profile

Full Name	Steven Eric Vandiver
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	4 Years
Location	10415 Wallace Alley St, Kingsport, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Steven Eric Vandiver attended and graduated from Virginia Commonwealth University, School Of Medicine in 2020

NPI Data:

NPI Number: 1104421213
Provider Enumeration Date: 12/04/2020
Last Update Date: 11/09/2023

Medicare PECOS Information:

PECOS PAC ID: 0840606315
Enrollment ID: I20210308001813

Medical Identifiers

Medical identifiers for Steven Eric Vandiver such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104421213	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	215987 (Tennessee)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	29061 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Franklin Woods Community Hospital	Johnson city, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Paragon Anesthesia Pc	8921044744	121

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. Steven Eric Vandiver allows following entities to bill medicare on his behalf.

Entity Name	Anesthesia And Pain Consultants Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750399127 PECOS PAC ID: 1355239385 Enrollment ID: O20040310000239

Entity Name	Paragon Anesthesia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538174974 PECOS PAC ID: 8921044744 Enrollment ID: O20090402000626

Entity Name	Tennessee Valley Anesthesia Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053881706 PECOS PAC ID: 1254677222 Enrollment ID: O20190111001324

Entity Name	Anesthesia Dynamics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20200801000026

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. Steven Eric Vandiver 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
Steven Eric Vandiver, RN 10415 Wallace Alley St, Kingsport, TN 37663-3936 Ph: (423) 390-0451	Steven Eric Vandiver, RN 10415 Wallace Alley St, Kingsport, TN 37663-3936 Ph: (423) 390-0451

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Kingsport, TN

Mrs. Stacey Ann Ryder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-4000
Jeffry M Holweger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4128 Fort Henry Dr # D-226, Kingsport, TN 37663 Phone: 423-426-2121
Geena Sollecito, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 10415 Wallace Alley St, Kingsport, TN 37663 Phone: 423-390-0451
Jeri L Holweger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4128 Fort Henry Dr # D-226, Kingsport, TN 37663 Phone: 423-426-2122
Mrs. Katherine A Miller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2000 Brookside Dr, Kingsport, TN 37660 Phone: 423-857-7144
Bethany Kossick Seale, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-5711
Sandra J White, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2000 Brookside Dr, Kingsport, TN 37660 Phone: 423-857-7000

Steven Eric Vandiver, RN - Medicare Certified Registered Nurse Anesthetist (crna) in Kingsport, TN