Jerry Gregory, is a medicare enrolled "Anesthesiologist Assistant" in Ada, Oklahoma. He graduated from nursing school in 1981 and has 43 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Chickasaw Nation Division Of Health Chickasaw Nation Medical Center and his current practice location is
1921 Stonecipher Blvd, Ada, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(580) 421-4570.
Jerry Gregory is licensed to practice in Oklahoma (license number R0045729) 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 1467400069.
Provider's Profile
| Full Name | Jerry Gregory |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 43 Years |
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| Location | 1921 Stonecipher Blvd, Ada, Oklahoma |
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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 Gregory graduated from nursing school in 1981
NPI Data:
- NPI Number: 1467400069
- Provider Enumeration Date: 05/05/2006
- Last Update Date: 01/07/2015
Medicare PECOS Information:
- PECOS PAC ID: 0648309914
- Enrollment ID: I20100525000340
Medical Identifiers
Medical identifiers for Jerry Gregory such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1467400069 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367H00000X | Anesthesiologist Assistant | R0045729 (Oklahoma) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Chickasaw Nation Division Of Health Chickasaw Nation Medical Center | 8426957523 | 219 |
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 Gregory allows following entities to bill medicare on his behalf.
| Entity Name | Chickasaw Nation Division Of Health Chickasaw Nation Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255364923
PECOS PAC ID: 8426957523
Enrollment ID: O20040108000364 |
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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 Gregory 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 |
|---|
Jerry Gregory,
1921 Stonecipher Blvd,
Ada, OK 74820
Ph: (580) 421-4570 | Jerry Gregory,
1921 Stonecipher Blvd,
Ada, OK 74820
Ph: (580) 421-4570 |
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