Andrew Fontenot Sr, CRNA - Medicare Nurse Anesthetist, Certified Registered in Memphis, TN

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Andrew Fontenot Sr, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Memphis, Tennessee. His current practice location is 877 Jefferson Ave, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 545-8699.

Andrew Fontenot Sr is licensed to practice in Tennessee (license number 17580) 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 1710229737.

Contact Information

Andrew Fontenot Sr, CRNA
877 Jefferson Ave,
Memphis, TN 38103-2807
(901) 545-8699
(901) 545-8996

Map and Direction




Provider's Profile

Full NameAndrew Fontenot Sr
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location877 Jefferson Ave, Memphis, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710229737
  • Provider Enumeration Date: 03/18/2013
  • Last Update Date: 08/11/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 2163660929
  • Enrollment ID: I20130606000297

Medical Identifiers

Medical identifiers for Andrew Fontenot Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710229737NPI-NPPES
02636357MedicaidMS
197571001MedicaidAR
Q002094MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 17580 (Tennessee)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. Andrew Fontenot Sr allows following entities to bill medicare on his behalf.
Entity NameEast Memphis Anesthesia Services Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578592663
PECOS PAC ID: 1850386038
Enrollment ID: O20040416001400
Entity NameLifelinc Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801021464
PECOS PAC ID: 0941347447
Enrollment ID: O20091231000232
Entity NameUt Regional One Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093130585
PECOS PAC ID: 5698993418
Enrollment ID: O20140820000662

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. Andrew Fontenot Sr 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
Andrew Fontenot Sr, CRNA
1407 Union Ave Ste 640,
Memphis, TN 38104-3666

Ph: (901) 866-8360		Andrew Fontenot Sr, CRNA
877 Jefferson Ave,
Memphis, TN 38103-2807

Ph: (901) 545-8699

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Memphis, TN

Tara Orr, CRNA
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Practice Location: 1068 Cresthaven Rd, Suite 150, Memphis, TN 38119
Phone: 901-682-2872    
Michael Fisher, CRNA
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Practice Location: 1265 Union Ave, Memphis, TN 38104
Phone: 901-725-5846    
Jessica Doran, DNP, CRNA
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Practice Location: 877 Jefferson Ave, Memphis, TN 38103
Phone: 901-448-5893    Fax: 901-448-5893
Carman Hamm, CRNA
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Medicare: Not Enrolled in Medicare
Practice Location: 1755 Kirby Pkwy, Memphis, TN 38120
Phone: 901-725-5846    Fax: 901-726-4827
Kathleen B Weiman, CRNA
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Medicare: Accepting Medicare Assignments
Practice Location: 825 Ridge Lake Blvd, Memphis, TN 38120
Phone: 901-685-6150    Fax: 901-685-6454
Janet Laughlin, CRNA
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Practice Location: 6485 Poplar Ave, Memphis, TN 38119
Phone: 901-767-4014    
Jennifer Williams, CRNA
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Medicare: Not Enrolled in Medicare
Practice Location: 1755 Kirby Pkwy, Memphis, TN 38120
Phone: 901-725-5846    Fax: 901-726-4827

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.