Bryan C Spears, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Cushing, Oklahoma. His current practice location is
1027 E Cherry, Cushing, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 225-8258.
Bryan C Spears is licensed to practice in Oklahoma (license number 91028) 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 1518166347.
Provider's Profile
| Full Name | Bryan C Spears |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 1027 E Cherry, Cushing, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1518166347
- Provider Enumeration Date: 07/12/2007
- Last Update Date: 12/24/2009
Medicare PECOS Information:
- PECOS PAC ID: 5395839617
- Enrollment ID: I20080416000666
Medical Identifiers
Medical identifiers for Bryan C Spears such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1518166347 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 41360912 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209006700 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 91028 (Oklahoma) | Primary |
| 163W00000X | Registered Nurse | 91028 (Oklahoma) | Secondary |
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. Bryan C Spears allows following entities to bill medicare on his behalf.
| Entity Name | Ahs Oklahoma Physician Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235182775
PECOS PAC ID: 9436122496
Enrollment ID: O20040817001197 |
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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. Bryan C Spears 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 |
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Bryan C Spears, CRNA
1145 S Utica Ave, Suite 110,
Tulsa, OK 74104-4013
Ph: (918) 579-3825 | Bryan C Spears, CRNA
1027 E Cherry,
Cushing, OK 74023-4101
Ph: (918) 225-8258 |
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