Jeremy Keith Crouch, CRNA in Fort Moore, GA - Medicare Certified Registered Nurse Anesthetist (crna)

Jeremy Keith Crouch, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Moore, Georgia. He graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Grady Memorial Hospital Corporation, Sentry Anesthesia Management, Llc and his current practice location is 6600 Van Aalst Blvd Bldg 9250, Fort Moore, Georgia. You can reach out to his office (for appointments etc.) via phone at (762) 408-0455.

Jeremy Keith Crouch is licensed to practice in Tennessee (license number 085227) 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 1538464086.

Contact Information

	Jeremy Keith Crouch, CRNA
	6600 Van Aalst Blvd Bldg 9250, Fort Moore, GA 31905-2102
	(762) 408-0455
	(000) 000-0000

Map and Direction

Provider's Profile

Full Name	Jeremy Keith Crouch
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	14 Years
Location	6600 Van Aalst Blvd Bldg 9250, Fort Moore, Georgia
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:

Jeremy Keith Crouch graduated from nursing school in 2010

NPI Data:

NPI Number: 1538464086
Provider Enumeration Date: 01/13/2011
Last Update Date: 03/21/2024

Medicare PECOS Information:

PECOS PAC ID: 9234307018
Enrollment ID: I20220427001501

Medical Identifiers

Medical identifiers for Jeremy Keith Crouch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538464086	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	085227 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Phoebe Sumter Medical Center	Americus, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Grady Memorial Hospital Corporation	7517032998	262
Sentry Anesthesia Management, Llc	9436372323	207

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. Jeremy Keith Crouch allows following entities to bill medicare on his behalf.

Entity Name	Amsol Anesthetists Of Georgia, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649224775 PECOS PAC ID: 5193780955 Enrollment ID: O20041122000580

Entity Name	Grady Memorial Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114243813 PECOS PAC ID: 7517032998 Enrollment ID: O20100723000311

Entity Name	Sentry Anesthesia Management, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134544794 PECOS PAC ID: 9436372323 Enrollment ID: O20140521002571

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. Jeremy Keith Crouch 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
Jeremy Keith Crouch, CRNA 5001 Wellington Way, Midland, GA 31820-5409 Ph: (931) 260-1965	Jeremy Keith Crouch, CRNA 6600 Van Aalst Blvd Bldg 9250, Fort Moore, GA 31905-2102 Ph: (762) 408-0455

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fort Moore, GA

Eric Henderson, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6600 Van Aalst Blvd, Fort Moore, GA 31905 Phone: 762-408-3107
Dr. Brooke Kahl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6600 Van Aalst Blvd, Fort Moore, GA 31905 Phone: 762-408-3230
Dr. Graham James Gorsline, DNP CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6600 Van Aalst Blvd Bldg 9250, Fort Moore, GA 31905 Phone: 762-408-3230
Ryann Mae Murphy, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd, Fort Moore, GA 31905 Phone: 516-330-3148
Christopher Shi Chung Wang, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd Bldg 9250, Fort Moore, GA 31905 Phone: 762-408-3105
Brandon Allen, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6600 Van Aalst Blvd, Fort Moore, GA 31905 Phone: 762-408-2273

Jeremy Keith Crouch, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Fort Moore, GA