Jessica L Green, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Tyler, TX

Jessica L Green, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tyler, Texas. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Northstar Anesthesia Iii Pa and her current practice location is 1000 S Beckham Ave, Department Of Anesthesia, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (877) 281-9905.

Jessica L Green is licensed to practice in Texas (license number 795190) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1902103849.

Contact Information

Jessica L Green, CRNA
1000 S Beckham Ave, Department Of Anesthesia,
Tyler, TX 75701-1908
(877) 281-9905
(817) 877-0350

Map and Direction




Provider's Profile

Full NameJessica L Green
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience14 Years
Location1000 S Beckham Ave, Tyler, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jessica L Green graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1902103849
  • Provider Enumeration Date: 02/11/2011
  • Last Update Date: 02/11/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 1557548641
  • Enrollment ID: I20110526000360

Medical Identifiers

Medical identifiers for Jessica L Green such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902103849NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 795190 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ut Health East Texas Tyler Regional HospitalTyler, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northstar Anesthesia Iii Pa0042630501338

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. Jessica L Green allows following entities to bill medicare on her behalf.
Entity NameNorthstar Anesthesia Iii Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356968952
PECOS PAC ID: 0042630501
Enrollment ID: O20201022000080

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. Jessica L Green 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 AddressPractice Location Address
Jessica L Green, CRNA
1000 S Beckham Ave, Department Of Anesthesia,
Tyler, TX 75701-1908

Ph: (877) 281-9905
Jessica L Green, CRNA
1000 S Beckham Ave, Department Of Anesthesia,
Tyler, TX 75701-1908

Ph: (877) 281-9905

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Tyler, TX

Mrs. Glenda R Sealey, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1424 East Front, Tyler, TX 75702
Phone: 903-595-4144    Fax: 903-596-7541
John Glynn Jeansonne, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 S Beckham Ave, Tyler, TX 75701
Phone: 903-526-1068    Fax: 903-593-4290
Jeffrey Manglicmot, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 800 E Dawson St, Tyler, TX 75701
Phone: 903-531-4522    
Harold Richie Bandalan, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 S Beckham Ave, Tyler, TX 75701
Phone: 903-526-1068    Fax: 903-593-4290
Jeffrey David Barker, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 S Beckham Ave, Tyler, TX 75701
Phone: 903-597-0351    
Gregory Mallett,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 800 E Dawson St, Tyler, TX 75701
Phone: 903-606-4522    
Cara L Dewolfe, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 800 E Dawson St, Tyler, TX 75701
Phone: 903-593-8441    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.