Adal Wolde, CRNA in San Angelo, TX - Medicare Nurse Anesthetist, Certified Registered

Adal Wolde, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in San Angelo, Texas. His current practice location is 120 E Harris Ave, San Angelo, Texas. You can reach out to his office (for appointments etc.) via phone at (325) 653-6741.

Adal Wolde is licensed to practice in Texas (license number 1097201) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1750008777.

Contact Information

	Adal Wolde, CRNA
	120 E Harris Ave, San Angelo, TX 76903-5904
	(325) 653-6741
	Not Available

Map and Direction

Provider's Profile

Full Name	Adal Wolde
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	120 E Harris Ave, San Angelo, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750008777
Provider Enumeration Date: 10/20/2022
Last Update Date: 10/20/2022

Medicare PECOS Information:

PECOS PAC ID: 4880062272
Enrollment ID: I20221115003293

Medical Identifiers

Medical identifiers for Adal Wolde such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750008777	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	1097201 (Texas)	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. Adal Wolde allows following entities to bill medicare on his behalf.

Entity Name	Shannon Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702

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. Adal Wolde 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
Adal Wolde, CRNA 3059 Dacy Ln, San Angelo, TX 76904-4657 Ph: () -	Adal Wolde, CRNA 120 E Harris Ave, San Angelo, TX 76903-5904 Ph: (325) 653-6741

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in San Angelo, TX

Shari L. Rogler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-747-6741
Shayla Cue, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-653-6741
Mr. Michael Rochin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3501 Knickerbocker Rd, San Angelo, TX 76904 Phone: 325-947-6616
Ms. Patricia T Manning, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-653-6741 Fax: 325-481-2166
Crystal Sustaita, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3501 Knickerbocker Rd, San Angelo, TX 76904 Phone: 325-949-9511
Kristine Scott, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3501 Knickerbocker Rd, San Angelo, TX 76904 Phone: 325-949-9555
Mr. Marvin Hill, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 120 E. Harris Ave, San Angelo, TX 76903 Phone: 325-653-6741 Fax: 325-481-2166

Adal Wolde, CRNA - Medicare Nurse Anesthetist, Certified Registered in San Angelo, TX