Gary W Manly, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Pine Bluff, AR

Gary W Manly, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Pine Bluff, Arkansas. He graduated from nursing school in 1980 and has 44 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Howard Memorial Hospital and his current practice location is 1801 W 40th Ave, Ste 2b, Pine Bluff, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 535-7457.

Gary W Manly is licensed to practice in Arkansas (license number CRNA416) 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 1023013000.

Contact Information

Gary W Manly, CRNA
1801 W 40th Ave, Ste 2b,
Pine Bluff, AR 71603-6957
(870) 535-7457
(870) 535-2522

Map and Direction




Provider's Profile

Full NameGary W Manly
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience44 Years
Location1801 W 40th Ave, Pine Bluff, Arkansas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Gary W Manly graduated from nursing school in 1980
  NPI Data:
  • NPI Number: 1023013000
  • Provider Enumeration Date: 06/16/2005
  • Last Update Date: 06/24/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 4082806898
  • Enrollment ID: I20101012001207

Medical Identifiers

Medical identifiers for Gary W Manly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023013000NPI-NPPES
125082701MedicaidAR
AR6003789OtherTRICARE/HUMANA
59625OtherARBCBS
430014160OtherRRMCR/PGBA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered CRNA416 (Arkansas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Howard Memorial Hospital731585159910

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. Gary W Manly allows following entities to bill medicare on his behalf.
Entity NameHoward Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609920370
PECOS PAC ID: 7315851599
Enrollment ID: O20051221000638

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. Gary W Manly 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 AddressPractice Location Address
Gary W Manly, CRNA
Po Box 1272,
Pine Bluff, AR 71613-1272

Ph: (870) 535-7457
Gary W Manly, CRNA
1801 W 40th Ave, Ste 2b,
Pine Bluff, AR 71603-6957

Ph: (870) 535-7457

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Pine Bluff, AR

Jonathan M Loetscher, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1801 W 40th Ave, Suite 2b, Pine Bluff, AR 71603
Phone: 870-535-7457    Fax: 870-535-2522
Jason Bobo,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3302 Shamrock Dr, Pine Bluff, AR 71603
Phone: 870-489-4864    
Jon C Valentine, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603
Phone: 870-535-7457    Fax: 870-535-2522
Walter P Theriot, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603
Phone: 870-535-7457    Fax: 870-535-2522
James C Rassier, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603
Phone: 870-535-7457    Fax: 870-535-2522
Mr. Nicholas Holloway, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1801 W 40th Ave, Suite 2b, Pine Bluff, AR 71603
Phone: 870-535-7457    Fax: 870-535-2522

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.