Angela L Fountain, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Tempe, AZ

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Angela L Fountain, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tempe, Arizona. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Summit Anesthesia Services Pllc and her current practice location is 6433 S Clark Dr, Tempe, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 414-1295.

Angela L Fountain is licensed to practice in Arizona (license number CRNA0926) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1255776308.

Contact Information

Angela L Fountain, CRNA
6433 S Clark Dr,
Tempe, AZ 85283-3308
(480) 414-1295
Not Available

Map and Direction




Provider's Profile

Full NameAngela L Fountain
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience11 Years
Location6433 S Clark Dr, Tempe, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Angela L Fountain graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1255776308
  • Provider Enumeration Date: 05/02/2013
  • Last Update Date: 07/22/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2769613827
  • Enrollment ID: I20140402002372

Medical Identifiers

Medical identifiers for Angela L Fountain such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255776308NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered CRNA0926 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Abrazo Scottsdale CampusPhoenix, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Anesthesia Services Pllc397185089241

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. Angela L Fountain allows following entities to bill medicare on her behalf.
Entity NameValley Anesthesiology Consultants Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285660704
PECOS PAC ID: 4880591841
Enrollment ID: O20031217000620
Entity NameDistrict Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336472448
PECOS PAC ID: 7315086691
Enrollment ID: O20091125000583
Entity NameDec Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093006520
PECOS PAC ID: 9335319086
Enrollment ID: O20110907001087
Entity NameAmsurg North Valley Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629351788
PECOS PAC ID: 7416121447
Enrollment ID: O20111130000888
Entity NameDel Anesthesia Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053653600
PECOS PAC ID: 4688801517
Enrollment ID: O20131220000414
Entity NameGreater Anesthesia Solutions
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124430244
PECOS PAC ID: 9234357906
Enrollment ID: O20140822000525
Entity NameAnesthesia Partners & Management Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336530997
PECOS PAC ID: 9931429198
Enrollment ID: O20150529000706
Entity NameSummit Anesthesia Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821589144
PECOS PAC ID: 3971850892
Enrollment ID: O20180724002694
Entity NameArlington Anesthesia Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023483153
PECOS PAC ID: 2860798303
Enrollment ID: O20200306000876
Entity NameDesert Anesthesia Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750013223
PECOS PAC ID: 8729461207
Enrollment ID: O20220816001930
Entity NameFountain Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740900265
PECOS PAC ID: 4385013101
Enrollment ID: O20221216001432

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. Angela L Fountain 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
Angela L Fountain, CRNA
6433 S Clark Dr,
Tempe, AZ 85283-3308

Ph: (480) 414-1295		Angela L Fountain, CRNA
6433 S Clark Dr,
Tempe, AZ 85283-3308

Ph: (480) 414-1295

Reviews and Comments


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Nicholas Moore,
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Mrs. Bridget Nester Petrillo, CRNA
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Phone: 480-784-5500    Fax: 203-865-2983
Mr. Mazi Darrell Condelee, CRNA
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Practice Location: 1500 S Mill Ave, Tempe, AZ 85281
Phone: 480-784-5500    

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.