Joanne Custodio, CRNA in Providence, RI - Medicare Certified Registered Nurse Anesthetist (crna)

Joanne Custodio, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Providence, Rhode Island. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Narragansett Bay Anesthesia Llc, Narragansett Bay Anesthesia Llc and her current practice location is 825 Chalkstone Ave, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 456-2000.

Joanne Custodio is licensed to practice in Rhode Island (license number APRN02006) 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 1447716527.

Contact Information

	Joanne Custodio, CRNA
	825 Chalkstone Ave, Providence, RI 02908-4728
	(401) 456-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Joanne Custodio
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	5 Years
Location	825 Chalkstone Ave, Providence, Rhode Island
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Joanne Custodio graduated from nursing school in 2019

NPI Data:

NPI Number: 1447716527
Provider Enumeration Date: 02/14/2019
Last Update Date: 02/22/2019

Medicare PECOS Information:

PECOS PAC ID: 3779822671
Enrollment ID: I20190311000899

Medical Identifiers

Medical identifiers for Joanne Custodio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447716527	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN2305195 (Massachusetts)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	RN50949 (Rhode Island)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	APRN02006 (Rhode Island)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Roger Williams Medical Center	Providence, RI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Narragansett Bay Anesthesia Llc	5991774929	109
Narragansett Bay Anesthesia Llc	5991774929	109

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. Joanne Custodio allows following entities to bill medicare on her behalf.

Entity Name	Narragansett Bay Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861445728 PECOS PAC ID: 5991774929 Enrollment ID: O20040928000003

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. Joanne Custodio 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
Joanne Custodio, CRNA 690 Canton St Ste 325, Westwood, MA 02090-2324 Ph: () -	Joanne Custodio, CRNA 825 Chalkstone Ave, Providence, RI 02908-4728 Ph: (401) 456-2000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Providence, RI

Brian F Girard, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903 Phone: 401-444-4933 Fax: 401-444-5090
Peter W Wolferseder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903 Phone: 401-444-4933 Fax: 401-444-5090
Marie A Mills, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903 Phone: 401-444-4933 Fax: 401-444-5090
Beth Vanpraag, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903 Phone: 401-444-4933 Fax: 401-444-5090
Paulette Champion, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Davol 129, Providence, RI 02903 Phone: 401-444-4933 Fax: 401-444-5090
Angela Thomas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903 Phone: 401-444-4933 Fax: 401-444-5090
Garrick Mark Whitlock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 825 Chalkstone Ave, Providence, RI 02908 Phone: 401-456-2000

Joanne Custodio, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Providence, RI