Casey Glisson, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Maynard, Arkansas. His current practice location is
13502 Highway 115 N, Maynard, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(810) 870-3556.
Casey Glisson is licensed to practice in Texas (license number 1099358) 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 1336714633.
Provider's Profile
Full Name | Casey Glisson |
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Gender | Male |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 13502 Highway 115 N, Maynard, Arkansas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1336714633
- Provider Enumeration Date: 05/20/2021
- Last Update Date: 10/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 4183079239
- Enrollment ID: I20231010004151
Medical Identifiers
Medical identifiers for Casey Glisson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336714633 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 1099358 (Texas) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | R103778 (Arkansas) | 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. Casey Glisson allows following entities to bill medicare on his behalf.
Entity Name | Premier Anesthesia Of Huntsville A Division Of Premier Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1346570355 PECOS PAC ID: 7012045685 Enrollment ID: O20100503000712 |
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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. Casey Glisson 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 |
Casey Glisson, Po Box 325, Maynard, AR 72444-0325 Ph: (810) 870-3556 | Casey Glisson, 13502 Highway 115 N, Maynard, AR 72444-0325 Ph: (810) 870-3556 |
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