Jerry Antony Hadlock, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Salem, Utah. He graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Innovative Anesthesia Solutions Pllc and his current practice location is
684 E 320 S, Salem, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 615-3292.
Jerry Antony Hadlock is licensed to practice in Utah (license number 7091442-8900) 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 1487904298.
Provider's Profile
| Full Name | Jerry Antony Hadlock |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 12 Years |
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| Location | 684 E 320 S, Salem, Utah |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jerry Antony Hadlock graduated from nursing school in 2012
NPI Data:
- NPI Number: 1487904298
- Provider Enumeration Date: 09/19/2012
- Last Update Date: 09/19/2012
Medicare PECOS Information:
- PECOS PAC ID: 7911158852
- Enrollment ID: I20121127000202
Medical Identifiers
Medical identifiers for Jerry Antony Hadlock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487904298 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 7091442-8900 (Utah) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 7091442-4405 (Utah) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Innovative Anesthesia Solutions Pllc | 2062817760 | 5 |
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. Jerry Antony Hadlock allows following entities to bill medicare on his behalf.
| Entity Name | Mountain View Anesthesia Lc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043249840
PECOS PAC ID: 5991604829
Enrollment ID: O20040108000626 |
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| Entity Name | Zion Eye Institute, Inc |
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| Entity Type | Part B Supplier - Ambulatory Surgical Center |
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| Entity Identifiers | NPI Number: 1831182799
PECOS PAC ID: 9931243409
Enrollment ID: O20100222000447 |
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| Entity Name | Innovative Anesthesia Solutions Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730766098
PECOS PAC ID: 2062817760
Enrollment ID: O20210818002306 |
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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. Jerry Antony Hadlock 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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Jerry Antony Hadlock, CRNA
684 E 320 S,
Salem, UT 84653-8532
Ph: (801) 615-3292 | Jerry Antony Hadlock, CRNA
684 E 320 S,
Salem, UT 84653-8532
Ph: (801) 615-3292 |
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