Adam Russell Penrose, CRNA in Farmington, NM - Medicare Certified Registered Nurse Anesthetist (crna)

Adam Russell Penrose, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Farmington, New Mexico. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice San Juan Regional Medical Center, Inc. and his current practice location is 801 W Maple St, Farmington, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 609-2000.

Adam Russell Penrose is licensed to practice in New Mexico (license number 66709) 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 1215401948.

Contact Information

	Adam Russell Penrose, CRNA
	801 W Maple St, Farmington, NM 87401-5630
	(505) 609-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Adam Russell Penrose
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	6 Years
Location	801 W Maple St, Farmington, New Mexico
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Adam Russell Penrose graduated from nursing school in 2018

NPI Data:

NPI Number: 1215401948
Provider Enumeration Date: 01/16/2019
Last Update Date: 11/08/2024

Medicare PECOS Information:

PECOS PAC ID: 5294076774
Enrollment ID: I20220317000883

Medical Identifiers

Medical identifiers for Adam Russell Penrose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215401948	NPI	-	NPPES
123851	Other	VA	NBCRNA - BOARD CERTIFICATION

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	0001251248 (Virginia)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	66709 (New Mexico)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
San Juan Regional Medical Center	Farmington, NM	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
San Juan Regional Medical Center, Inc.	4587559505	171

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. Adam Russell Penrose allows following entities to bill medicare on his behalf.

Entity Name	San Juan Regional Medical Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639662901 PECOS PAC ID: 4587559505 Enrollment ID: O20040218000865

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. Adam Russell Penrose 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
Adam Russell Penrose, CRNA Po Box 844088, Dallas, TX 75284-4088 Ph: (505) 609-2258	Adam Russell Penrose, CRNA 801 W Maple St, Farmington, NM 87401-5630 Ph: (505) 609-2000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Farmington, NM

Christopher Gary Reitmeier, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 Fax: 505-609-2259
Barbara S Kamps, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 950 W Pinon, Farmington, NM 87401 Phone: 505-427-1794 Fax: 505-327-5355
Daniel Herring, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000
Tyler Marshall, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-6648 Fax: 505-609-2259
Laura Chase, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000
James L Thurston, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-419-4365

Adam Russell Penrose, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Farmington, NM