Jeremy Stephen Carter, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in San Anselmo, California. His current practice location is
1110 Sir Francis Drake Blvd, San Anselmo, California. You can reach out to his office (for appointments etc.) via phone at
(415) 306-2768.
Jeremy Stephen Carter is licensed to practice in California (license number 95000089) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1982985495.
Provider's Profile
| Full Name | Jeremy Stephen Carter |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 1110 Sir Francis Drake Blvd, San Anselmo, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1982985495
- Provider Enumeration Date: 08/30/2011
- Last Update Date: 10/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 7517130289
- Enrollment ID: I20141208000646
Medical Identifiers
Medical identifiers for Jeremy Stephen Carter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1982985495 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 95000089 (California) | Primary |
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 Stephen Carter allows following entities to bill medicare on his behalf.
| Entity Name | Amsurg Marin Anesthesia Lp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972929925
PECOS PAC ID: 7214160191
Enrollment ID: O20140603000058 |
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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 Stephen Carter 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 |
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Jeremy Stephen Carter, CRNA
1110 Sir Francis Drake Blvd,
San Anselmo, CA 94960-1726
Ph: (415) 306-2768 | Jeremy Stephen Carter, CRNA
1110 Sir Francis Drake Blvd,
San Anselmo, CA 94960-1726
Ph: (415) 306-2768 |
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