Dr Jared T Holton, CRNA in Maryville, IL - Medicare Nurse Anesthetist, Certified Registered

Dr Jared T Holton, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Maryville, Illinois. His current practice location is 6800 State Route 162, Maryville, Illinois. You can reach out to his office (for appointments etc.) via phone at (800) 281-3903.

Dr Jared T Holton is licensed to practice in Illinois (license number 209.017838) 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 1194210393.

Contact Information

	Dr Jared T Holton, CRNA
	6800 State Route 162, Maryville, IL 62062-8500
	(800) 281-3903
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Jared T Holton
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	6800 State Route 162, Maryville, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194210393
Provider Enumeration Date: 06/29/2018
Last Update Date: 06/29/2018

Medicare PECOS Information:

PECOS PAC ID: 8729337126
Enrollment ID: I20180817002110

Medical Identifiers

Medical identifiers for Dr Jared T Holton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194210393	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	209.017838 (Illinois)	Primary

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 Jared T Holton allows following entities to bill medicare on his behalf.

Entity Name	Millennium Anesthesiology Consultants, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710218094 PECOS PAC ID: 9133250475 Enrollment ID: O20100630000117

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 Jared T Holton 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
Dr Jared T Holton, CRNA 1130 Century Dr Ste E, Edwardsville, IL 62025-3699 Ph: (618) 971-7919	Dr Jared T Holton, CRNA 6800 State Route 162, Maryville, IL 62062-8500 Ph: (800) 281-3903

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Maryville, IL

Michael Petru, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6810 State Route 162, Suite 215, Maryville, IL 62062 Phone: 618-288-5711
Michael Southwick, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6810 State Route 162, Ste 215, Maryville, IL 62062 Phone: 618-288-5711
Ms. Connie Ann Dumm, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-288-5711
Joseph Hines, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6810 State Route 162, Ste 215, Maryville, IL 62062 Phone: 618-288-5711
Mark Silvey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6810 State Route 162, Suite 215, Maryville, IL 62062 Phone: 618-288-5711
Sherri Blaha, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6810 State Route 162, Suite 215, Maryville, IL 62062 Phone: 618-288-5711

Dr Jared T Holton, CRNA - Medicare Nurse Anesthetist, Certified Registered in Maryville, IL