Cassidy B Waterman, CRNA in Pocatello, ID - Medicare Certified Registered Nurse Anesthetist (crna)

Cassidy B Waterman, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Pocatello, Idaho. He graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Northstar Anesthesia Of Idaho Pllc and his current practice location is 1950 E Clark St, Suite G, Pocatello, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 232-7760.

Cassidy B Waterman is licensed to practice in Idaho (license number RNA-781) 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 1750691929.

Contact Information

	Cassidy B Waterman, CRNA
	1950 E Clark St, Suite G, Pocatello, ID 83201-3314
	(208) 232-7760
	(208) 232-1950

Map and Direction

Provider's Profile

Full Name	Cassidy B Waterman
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	14 Years
Location	1950 E Clark St, Pocatello, Idaho
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:

Cassidy B Waterman graduated from nursing school in 2010

NPI Data:

NPI Number: 1750691929
Provider Enumeration Date: 10/20/2010
Last Update Date: 10/19/2023

Medicare PECOS Information:

PECOS PAC ID: 0042492670
Enrollment ID: I20110308000139

Medical Identifiers

Medical identifiers for Cassidy B Waterman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750691929	NPI	-	NPPES
CD5673	Other	ID	RR GROUP LEGACY NUMBER
P00956855	Other		INDIVIDUAL RR MEDICARE
1604930	Other	ID	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RNA-781 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Portneuf Medical Center	Pocatello, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northstar Anesthesia Of Idaho Pllc	6204283856	35

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. Cassidy B Waterman allows following entities to bill medicare on his behalf.

Entity Name	Sei Anesthesia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750701199 PECOS PAC ID: 4183849979 Enrollment ID: O20140711000736

Entity Name	Northstar Anesthesia Of Idaho Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912686882 PECOS PAC ID: 6204283856 Enrollment ID: O20231103002037

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. Cassidy B Waterman 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
Cassidy B Waterman, CRNA 777 Hospital Way, Pocatello, ID 83201-5175 Ph: (208) 240-0735	Cassidy B Waterman, CRNA 1950 E Clark St, Suite G, Pocatello, ID 83201-3314 Ph: (208) 232-7760

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Pocatello, ID

Mr. Timothy Morgan Naylor, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 285 Vista Dr, Pocatello, ID 83201 Phone: 208-478-1704
Nicholas Stoddard, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-232-7760 Fax: 208-232-1950
Mark Alan Pendleton, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 082-391-0562 Fax: 208-239-3626
Jamie Leigh Cassinat, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-209-1000
Eric Michael Stradley, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1000
Richard Aaron Marler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 N 18th Ave, Bldg A, Pocatello, ID 83201 Phone: 208-233-8880 Fax: 208-232-1950
Mr. Kenneth Michael Knapp, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 N 18th Ave Ste A, Pocatello, ID 83201 Phone: 208-232-7760 Fax: 208-232-1950

Cassidy B Waterman, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Pocatello, ID