Mrs Dana Sue Coffman, CRNA - Medicare Nurse Anesthetist, Certified Registered in Davenport, IA

Mrs Dana Sue Coffman, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Davenport, Iowa. Her current practice location is 3400 Dexter Ct, Suite 101, Davenport, Iowa. You can reach out to her office (for appointments etc.) via phone at (563) 344-6746.

Mrs Dana Sue Coffman is licensed to practice in Iowa (license number D116964) 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 1578727715.

Contact Information

Mrs Dana Sue Coffman, CRNA
3400 Dexter Ct, Suite 101,
Davenport, IA 52807-3461
(563) 344-6746
(563) 344-6740



Provider's Profile

Full NameMrs Dana Sue Coffman
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location3400 Dexter Ct, Davenport, Iowa
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1578727715
  • Provider Enumeration Date: 07/16/2008
  • Last Update Date: 06/29/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 5193855278
  • Enrollment ID: I20100616000619

Medical Identifiers

Medical identifiers for Mrs Dana Sue Coffman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578727715NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered D116964 (Iowa)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 Dana Sue Coffman allows following entities to bill medicare on her behalf.
Entity NamePrecision Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053741322
PECOS PAC ID: 9335378264
Enrollment ID: O20140218001577

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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. Mrs Dana Sue Coffman 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
Mrs Dana Sue Coffman, CRNA
8315 47th St,
Milan, IL 61264-3263

Ph: (309) 333-9070
Mrs Dana Sue Coffman, CRNA
3400 Dexter Ct, Suite 101,
Davenport, IA 52807-3461

Ph: (563) 344-6746

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Nurse Anesthetist, Certified Registered Nurses in Davenport, IA

Tara M Kinney, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3400 Dexter Ct Ste 104, Davenport, IA 52807
Phone: 563-334-0234    Fax: 563-334-0235
Julie A Ridgley, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3400 Dexter Ct, Suite 101, Davenport, IA 52807
Phone: 563-344-6600    Fax: 563-344-6699
Dr. Laura Ann Holst, DNP, ANESTHESIA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1227 E Rusholme St, Davenport, IA 52803
Phone: 563-324-8160    
Timothy P Newcomb, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 3400 Dexter Ct, Suite 101, Davenport, IA 52807
Phone: 563-344-6600    Fax: 563-344-6699
Sarah A Butcher, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 3400 Dexter Ct, Davenport, IA 52807
Phone: 563-344-6600    
Mrs. Connie Colleen Mykleby, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1227 East Rusholme Street, Davenport, IA 52803
Phone: 563-421-1000    Fax: 563-421-7889

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