Peggy Ditta, CRNA - Medicare Nurse Anesthetist, Certified Registered in Gulfport, MS

Peggy Ditta, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Gulfport, Mississippi. Her current practice location is 15190 Community Rd, Suite 230a, Gulfport, Mississippi. You can reach out to her office (for appointments etc.) via phone at (228) 831-0204.

Peggy Ditta is licensed to practice in Mississippi (license number R863345) 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 1629173174.

Contact Information

Peggy Ditta, CRNA
15190 Community Rd, Suite 230a,
Gulfport, MS 39503-3485
(228) 831-0204
(228) 831-1868



Provider's Profile

Full NamePeggy Ditta
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location15190 Community Rd, Gulfport, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629173174
  • Provider Enumeration Date: 09/13/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5799859088
  • Enrollment ID: I20080805000322

Medical Identifiers

Medical identifiers for Peggy Ditta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629173174NPI-NPPES
01727241MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered R863345 (Mississippi)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. Peggy Ditta allows following entities to bill medicare on her behalf.
Entity NameCoastal Anesthesia Service Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255971016
PECOS PAC ID: 2062849763
Enrollment ID: O20200218002746

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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. Peggy Ditta 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
Peggy Ditta, CRNA
15190 Community Rd, Suite 230a,
Gulfport, MS 39503-3485

Ph: (228) 831-0204
Peggy Ditta, CRNA
15190 Community Rd, Suite 230a,
Gulfport, MS 39503-3485

Ph: (228) 831-0204

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Nurse Anesthetist, Certified Registered Nurses in Gulfport, MS

Kathryn Pittman, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 15200 Community Rd, Gulfport, MS 39503
Phone: 228-575-7000    
Jason Wells, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4500 13th St, Gulfport, MS 39501
Phone: 228-865-3281    Fax: 228-867-5117
Victor P Polito, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 15190 Community Rd, Suite 230a, Gulfport, MS 39503
Phone: 228-831-0204    Fax: 228-831-1868
Glen Deitrick, C.R.N.A
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 15190 Community Rd, Suite 230a, Gulfport, MS 39503
Phone: 228-831-0204    Fax: 228-831-1868
Glen Michael Cavalier, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 15200 Community Rd, Gulfport, MS 39503
Phone: 228-575-7000    
Julie K Klester, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 15190 Community Rd, Suite 230a, Gulfport, MS 39503
Phone: 228-831-0204    Fax: 228-831-1868
Trinh Thu Weatherly, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4500 13th St, Gulfport, MS 39501
Phone: 228-867-4000    

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