Edem Djalla, CRNA in Tulsa, OK - Medicare Nurse Anesthetist, Certified Registered

Edem Djalla, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tulsa, Oklahoma. His current practice location is 1120 S Utica Ave, Tulsa, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 579-1000.

Edem Djalla is licensed to practice in Oklahoma (license number 210491) 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 1538885538.

Contact Information

	Edem Djalla, CRNA
	1120 S Utica Ave, Tulsa, OK 74104-4012
	(918) 579-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Edem Djalla
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	1120 S Utica Ave, Tulsa, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538885538
Provider Enumeration Date: 10/12/2022
Last Update Date: 10/12/2022

Medicare PECOS Information:

PECOS PAC ID: 1254707755
Enrollment ID: I20221025002752

Medical Identifiers

Medical identifiers for Edem Djalla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538885538	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	210491 (Oklahoma)	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. Edem Djalla allows following entities to bill medicare on his behalf.

Entity Name	Emergenchealth Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20190618003098

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. Edem Djalla 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
Edem Djalla, CRNA Po Box 207529, Dallas, TX 75320-7529 Ph: (888) 383-7028	Edem Djalla, CRNA 1120 S Utica Ave, Tulsa, OK 74104-4012 Ph: (918) 579-1000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Tulsa, OK

Mrs. Ashley Dinkel Westerman, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4800 S 109th East Ave, Tulsa, OK 74146 Phone: 918-392-1400
Dr. Samuel Shyam Adhikari, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-494-0612
Tara A Mccants, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1923 S Utica Ave, Tulsa, OK 74104 Phone: 918-744-2362
Wendy A. Watkins, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2000 S. Wheeling Ave, Suite 600, Tulsa, OK 74104 Phone: 918-918-4150
Clinton Alsup, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1120 S Utica Ave, Tulsa, OK 74104 Phone: 800-939-7440
Stan Allen Young, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6839 S Canton Ave, Tulsa, OK 74136 Phone: 918-494-0612 Fax: 918-481-5170
Christopher Thomas Ward, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1923 S Utica Ave, Tulsa, OK 74104 Phone: 918-744-2362 Fax: 806-356-2939

Edem Djalla, CRNA - Medicare Nurse Anesthetist, Certified Registered in Tulsa, OK