Mr Dale P Hotard Iii, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Vicksburg, MS

Mr Dale P Hotard Iii, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Vicksburg, Mississippi. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Anesthesia Consultants Pa and his current practice location is 103 Fairview Dr, Vicksburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (314) 258-1988.

Mr Dale P Hotard Iii is licensed to practice in Mississippi (license number 901422) 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 1609314400.

Contact Information

Mr Dale P Hotard Iii, CRNA
103 Fairview Dr,
Vicksburg, MS 39180-8934
(314) 258-1988
Not Available



Provider's Profile

Full NameMr Dale P Hotard Iii
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience8 Years
Location103 Fairview Dr, Vicksburg, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Dale P Hotard Iii graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1609314400
  • Provider Enumeration Date: 02/01/2017
  • Last Update Date: 02/01/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 7113295528
  • Enrollment ID: I20170607002058

Medical Identifiers

Medical identifiers for Mr Dale P Hotard Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609314400NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 901422 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Merit Health River RegionVicksburg, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Anesthesia Consultants Pa448663788151

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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 Dale P Hotard Iii allows following entities to bill medicare on his behalf.
Entity NameAnesthesia Consultants Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750300836
PECOS PAC ID: 4486637881
Enrollment ID: O20040608000711

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Entity NameNorthstar Anesthesia Of Mississippi Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124415567
PECOS PAC ID: 1658682117
Enrollment ID: O20150624002329

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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. Mr Dale P Hotard Iii 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
Mr Dale P Hotard Iii, CRNA
103 Fairview Dr,
Vicksburg, MS 39180-8934

Ph: () -
Mr Dale P Hotard Iii, CRNA
103 Fairview Dr,
Vicksburg, MS 39180-8934

Ph: (314) 258-1988

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June Cold Spring Harbor Protocols features electrophoresis in RNA analysis and avian embryos

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Nurse Anesthetist, Certified Registered Nurses in Vicksburg, MS

Mr. Michael J Mcreynolds, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183
Phone: 601-831-1146    
Richard M Stone Jr., CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183
Phone: 601-883-5000    
Christopher Sumrall,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183
Phone: 601-218-6136    
Melanie Joan Waldrop, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Hwy 61n, River Region Medical Center, Vicksburg, MS 39183
Phone: 601-883-5000    
Mr. Channon Lee Pruitt, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183
Phone: 601-883-5000    
Mr. Michael Edward Killen, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183
Phone: 601-883-5707    
Jackie L Benson, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183
Phone: 601-883-5000    

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