Edythe Ann Woodall, CRNA in Tyler, TX - Medicare Nurse Anesthetist, Certified Registered

Edythe Ann Woodall, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tyler, Texas. Her current practice location is 1000 S Beckham Ave, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 526-1068.

Edythe Ann Woodall is licensed to practice in Texas (license number 565601) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164571212.

Contact Information

	Edythe Ann Woodall, CRNA
	1000 S Beckham Ave, Tyler, TX 75701-1908
	(903) 526-1068
	(903) 593-4290

Map and Direction

Provider's Profile

Full Name	Edythe Ann Woodall
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	1000 S Beckham Ave, Tyler, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164571212
Provider Enumeration Date: 01/09/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8820073349
Enrollment ID: I20040621000211

Medical Identifiers

Medical identifiers for Edythe Ann Woodall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164571212	NPI	-	NPPES
86204U	Other	TX	BLUE CROSS OF TEXAS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	565601 (Texas)	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. Edythe Ann Woodall allows following entities to bill medicare on her behalf.

Entity Name	Northstar Anesthesia Iii Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356968952 PECOS PAC ID: 0042630501 Enrollment ID: O20201022000080

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. Edythe Ann Woodall 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
Edythe Ann Woodall, CRNA Po Box 8027, Tyler, TX 75711-8027 Ph: (903) 526-1068	Edythe Ann Woodall, CRNA 1000 S Beckham Ave, Tyler, TX 75701-1908 Ph: (903) 526-1068

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Tyler, TX

Mrs. Glenda R Sealey, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1424 East Front, Tyler, TX 75702 Phone: 903-595-4144 Fax: 903-596-7541
John Glynn Jeansonne, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 S Beckham Ave, Tyler, TX 75701 Phone: 903-526-1068 Fax: 903-593-4290
Jeffrey Manglicmot, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-531-4522
Harold Richie Bandalan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 S Beckham Ave, Tyler, TX 75701 Phone: 903-526-1068 Fax: 903-593-4290
Jeffrey David Barker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 S Beckham Ave, Tyler, TX 75701 Phone: 903-597-0351
Gregory Mallett, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-606-4522
Cara L Dewolfe, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-593-8441

Edythe Ann Woodall, CRNA - Medicare Nurse Anesthetist, Certified Registered in Tyler, TX