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

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



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

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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

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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. 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

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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    
Mr. Dennis Eugene Oliver, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 401 Bicentennial Way, Kaiser Hospital, Santa Rosa, CA 95403
Phone: 707-571-4616    Fax: 707-571-3144
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
Mr. Krishneel Lall, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403
Phone: 707-393-4000    
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: Medicare Enrolled
Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403
Phone: 310-274-7515    

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