Jesse Gordon Garland Ii, in Kingsport, TN - Medicare Nurse Anesthetist, Certified Registered

Jesse Gordon Garland Ii, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Kingsport, Tennessee. His current practice location is 10415 Wallace Alley St, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 390-0451.

Jesse Gordon Garland Ii is licensed to practice in Tennessee (license number 35488) 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 1811695794.

Contact Information

	Jesse Gordon Garland Ii,
	10415 Wallace Alley St, Kingsport, TN 37663-3936
	(423) 390-0451
	Not Available

Map and Direction

Provider's Profile

Full Name	Jesse Gordon Garland Ii
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	10415 Wallace Alley St, Kingsport, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811695794
Provider Enumeration Date: 02/20/2023
Last Update Date: 10/17/2024

Medicare PECOS Information:

PECOS PAC ID: 1254779788
Enrollment ID: I20240403002585

Medical Identifiers

Medical identifiers for Jesse Gordon Garland Ii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811695794	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	188618 (Tennessee)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	35488 (Tennessee)	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. Jesse Gordon Garland Ii allows following entities to bill medicare on his behalf.

Entity Name	Paragon Anesthesia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538174974 PECOS PAC ID: 8921044744 Enrollment ID: O20090402000626

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. Jesse Gordon Garland Ii 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
Jesse Gordon Garland Ii, 10415 Wallace Alley St, Kingsport, TN 37663-3936 Ph: (423) 390-0451	Jesse Gordon Garland Ii, 10415 Wallace Alley St, Kingsport, TN 37663-3936 Ph: (423) 390-0451

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Kingsport, TN

Mrs. Stacey Ann Ryder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-4000
Jeffry M Holweger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4128 Fort Henry Dr # D-226, Kingsport, TN 37663 Phone: 423-426-2121
Geena Sollecito, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 10415 Wallace Alley St, Kingsport, TN 37663 Phone: 423-390-0451
Jeri L Holweger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4128 Fort Henry Dr # D-226, Kingsport, TN 37663 Phone: 423-426-2122
Mrs. Katherine A Miller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2000 Brookside Dr, Kingsport, TN 37660 Phone: 423-857-7144
Bethany Kossick Seale, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-5711
Sandra J White, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2000 Brookside Dr, Kingsport, TN 37660 Phone: 423-857-7000

Jesse Gordon Garland Ii, - Medicare Nurse Anesthetist, Certified Registered in Kingsport, TN