Ethan Jeffrey Tate, CRNA in Los Angeles, CA - Medicare Certified Registered Nurse Anesthetist (crna)

Ethan Jeffrey Tate, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Los Angeles, California. 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 Piedmont Anesthesia Associates Llc and his current practice location is 1500 San Pablo St, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 442-7400.

Ethan Jeffrey Tate is licensed to practice in California (license number NA95000780) 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 1427576644.

Contact Information

	Ethan Jeffrey Tate, CRNA
	1500 San Pablo St, Los Angeles, CA 90033-5313
	(323) 442-7400
	Not Available

Map and Direction

Provider's Profile

Full Name	Ethan Jeffrey Tate
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	7 Years
Location	1500 San Pablo St, Los Angeles, California
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:

Ethan Jeffrey Tate graduated from nursing school in 2017

NPI Data:

NPI Number: 1427576644
Provider Enumeration Date: 09/08/2017
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 4486910262
Enrollment ID: I20220330002063

Medical Identifiers

Medical identifiers for Ethan Jeffrey Tate such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427576644	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	NA95000780 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Piedmont Hospital	Atlanta, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Piedmont Anesthesia Associates Llc	3577457183	257

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. Ethan Jeffrey Tate allows following entities to bill medicare on his behalf.

Entity Name	Piedmont Anesthesia Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407856594 PECOS PAC ID: 3577457183 Enrollment ID: O20040212000604

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. Ethan Jeffrey Tate 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
Ethan Jeffrey Tate, CRNA Po Box 31309, Los Angeles, CA 90031-0309 Ph: (323) 442-7400	Ethan Jeffrey Tate, CRNA 1500 San Pablo St, Los Angeles, CA 90033-5313 Ph: (323) 442-7400

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Los Angeles, CA

Mrs. Cathy Kiem Ngo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 San Pablo St, Los Angeles, CA 90033 Phone: 323-442-7400
Cynthia L Plehn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4733 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-783-4011
Mrs. Sara Rondinone Shive, RN, BSN, CRNA, MS Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 San Pablo St, Los Angeles, CA 90033 Phone: 323-442-7400 Fax: 323-442-7411
Brandon Lee, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1401 S Grand Ave, Los Angeles, CA 90015 Phone: 213-748-2411
Brooke A Knapp, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-2000
Mrs. Dina Marie Hunt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 San Pablo St, Los Angeles, CA 90033 Phone: 323-442-7400
Tahira Ayanna Smith-aifesehi, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1200 N State St, Los Angeles, CA 90033 Phone: 323-226-2622

Ethan Jeffrey Tate, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Los Angeles, CA