Etheta Maria Jackson, CRNA in Wichita, KS - Medicare Certified Registered Nurse Anesthetist (crna)

Etheta Maria Jackson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Wichita, Kansas. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Anesthesia Consulting Services, Pa and her current practice location is 929 N Saint Francis St, Wichita, Kansas. You can reach out to her office (for appointments etc.) via phone at (316) 268-5000.

Etheta Maria Jackson is licensed to practice in Kansas (license number 557533) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1972030252.

Contact Information

	Etheta Maria Jackson, CRNA
	929 N Saint Francis St, Wichita, KS 67214-3821
	(316) 268-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Etheta Maria Jackson
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	7 Years
Location	929 N Saint Francis St, Wichita, Kansas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Etheta Maria Jackson graduated from nursing school in 2017

NPI Data:

NPI Number: 1972030252
Provider Enumeration Date: 05/17/2017
Last Update Date: 09/27/2017

Medicare PECOS Information:

PECOS PAC ID: 9830464445
Enrollment ID: I20171009000485

Medical Identifiers

Medical identifiers for Etheta Maria Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972030252	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	103631 (Kansas)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	557533 (Kansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kansas Surgery & Recovery Center	Wichita, KS	Hospital
Via Christi Hospital Wichita St Teresa, Inc	Wichita, KS	Hospital
Via Christi Hospital-wichita	Wichita, KS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Anesthesia Consulting Services, Pa	7214849710	70

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. Etheta Maria Jackson allows following entities to bill medicare on her behalf.

Entity Name	Anesthesia Consulting Services, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518070416 PECOS PAC ID: 7214849710 Enrollment ID: O20031113000271

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. Etheta Maria Jackson 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
Etheta Maria Jackson, CRNA Po Box 2897, Wichita, KS 67201-2897 Ph: (844) 468-9498	Etheta Maria Jackson, CRNA 929 N Saint Francis St, Wichita, KS 67214-3821 Ph: (316) 268-5000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Wichita, KS

Jaysa L Nichols, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8080 E Central Ave, Suite 250, Wichita, KS 67206 Phone: 316-686-7327 Fax: 316-858-1556
George Findley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8080 E Central Ave Ste 250, Wichita, KS 67206 Phone: 316-461-4497 Fax: 316-686-1557
Jill C Gallagher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8330 E Overbrook St, Wichita, KS 67206 Phone: 316-644-1193
Janet L Miller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3450 N Rock Rd Ste 208, Wichita, KS 67226 Phone: 316-685-6091
Seth Claassen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8080 E Central Ave Ste 250, Wichita, KS 67206 Phone: 316-686-7327 Fax: 316-686-1557
Wade Frederick Winter, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 929 N Saint Francis Ave, Wichita, KS 67214 Phone: 316-268-5000 Fax: 316-291-4272
Mr. Brian Lee Moore, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6615 Briarwood Cir, Wichita, KS 67212 Phone: 316-729-4474 Fax: 316-729-4474

Etheta Maria Jackson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Wichita, KS