Jacqueline E Gore, CRNA in South Charleston, WV - Medicare Certified Registered Nurse Anesthetist (crna)

Jacqueline E Gore, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in South Charleston, West Virginia. She graduated from nursing school in 1993 and has 31 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Professional Anesthesia Service,inc. and her current practice location is 4605 Maccorkle Ave Sw, South Charleston, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 766-3600.

Jacqueline E Gore is licensed to practice in West Virginia (license number 044318) 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 1689607640.

Contact Information

	Jacqueline E Gore, CRNA
	4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311
	(304) 766-3600
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacqueline E Gore
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	31 Years
Location	4605 Maccorkle Ave Sw, South Charleston, West Virginia
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:

Jacqueline E Gore graduated from nursing school in 1993

NPI Data:

NPI Number: 1689607640
Provider Enumeration Date: 07/09/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 0244404473
Enrollment ID: I20111123000726

Medical Identifiers

Medical identifiers for Jacqueline E Gore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689607640	NPI	-	NPPES
0068744000	Medicaid	WV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	044318 (West Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Thomas Memorial Hospital	South charleston, WV	Hospital
St Francis Hospital	Charleston, WV	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Professional Anesthesia Service,inc.	2769387190	42

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. Jacqueline E Gore allows following entities to bill medicare on her behalf.

Entity Name	Professional Anesthesia Service,inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720035827 PECOS PAC ID: 2769387190 Enrollment ID: O20031126000731

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. Jacqueline E Gore 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
Jacqueline E Gore, CRNA 331 Laidley St, Suite 606, Charleston, WV 25301-1619 Ph: (304) 344-0096	Jacqueline E Gore, CRNA 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 Ph: (304) 766-3600

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in South Charleston, WV

Lindsey Rubenstein, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3600
Bradley S. Persinger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 80 Rockcrest Dr, South Charleston, WV 25309 Phone: 304-542-3927 Fax: 304-768-2468
Tammy L Cunningham, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3600
Jessica Smith, RN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 Angus E Peyton Dr, South Charleston, WV 25303 Phone: 304-746-2088
Mary E. West, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3600
Marnie E. Edwards, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3600
Nicholas E. Clark, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3600

Jacqueline E Gore, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in South Charleston, WV