Dr Anthony Wade Fondren, CRNA, DNP, BSN, BSBS - Medicare Certified Registered Nurse Anesthetist (crna) in Jackson, TN

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Dr Anthony Wade Fondren, CRNA, DNP, BSN, BSBS is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jackson, Tennessee. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Anesthesia Partners Of New England Llc, Prima Care Pc, Steward Medical Group Inc and his current practice location is 620 Skyline Dr, Jackson, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 541-7070.

Dr Anthony Wade Fondren is licensed to practice in Tennessee (license number 22967) 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 1831615541.

Contact Information

Dr Anthony Wade Fondren, CRNA, DNP, BSN, BSBS
620 Skyline Dr,
Jackson, TN 38301-3923
(731) 541-7070
(731) 541-7075

Map and Direction




Provider's Profile

Full NameDr Anthony Wade Fondren
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience7 Years
Location620 Skyline Dr, Jackson, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Anthony Wade Fondren graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1831615541
  • Provider Enumeration Date: 08/15/2017
  • Last Update Date: 08/15/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 3375818685
  • Enrollment ID: I20190130000306

Medical Identifiers

Medical identifiers for Dr Anthony Wade Fondren such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831615541NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 22967 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Anesthesia Partners Of New England Llc236583542826
Prima Care Pc2567356017186
Steward Medical Group Inc28606887281338

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. Dr Anthony Wade Fondren allows following entities to bill medicare on his behalf.
Entity NamePrima Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265422596
PECOS PAC ID: 2567356017
Enrollment ID: O20040214000027
Entity NameSouthcoast Physicians Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336137629
PECOS PAC ID: 0749171957
Enrollment ID: O20040920000138
Entity NameNorth American Partners In Anesthesia Massachusetts Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457867020
PECOS PAC ID: 8820350713
Enrollment ID: O20180312001704
Entity NameSteward Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043711914
PECOS PAC ID: 2860688728
Enrollment ID: O20180329001196
Entity NameAnesthesia Partners Of New England Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326672312
PECOS PAC ID: 2365835428
Enrollment ID: O20220222002522

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. Dr Anthony Wade Fondren 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
Dr Anthony Wade Fondren, CRNA, DNP, BSN, BSBS
620 Skyline Dr,
Jackson, TN 38301-3923

Ph: (731) 541-7070		Dr Anthony Wade Fondren, CRNA, DNP, BSN, BSBS
620 Skyline Dr,
Jackson, TN 38301-3923

Ph: (731) 541-7070

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Jackson, TN

Robert Wallace, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 367 Hospital Blvd, Jackson, TN 38305
Phone: 731-661-2227    
Brendan Mckinney,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 620 Skyline Dr, Jackson, TN 38301
Phone: 731-541-7070    Fax: 731-541-7075
Ryan Shephard,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 620 Skyline Dr, Jackson, TN 38301
Phone: 731-541-7070    Fax: 731-541-7075
Daniel T Hurst, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 810 W Forest Ave, Jackson, TN 38301
Phone: 731-668-1853    Fax: 731-664-7731
Pamela J Austin, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 810 W Forest Ave, Jackson, TN 38301
Phone: 731-662-1853    Fax: 731-664-7731
Jason L. Hooper, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 620 Skyline Dr, Jackson, TN 38301
Phone: 731-541-5000    
Kenneth W Hutchinson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 17c Brentshire Square, Jackson, TN 38305
Phone: 731-664-1717    Fax: 731-664-7114

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.