John R Driver, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Cape Fair, Missouri. His current practice location is
806 Lakehome Ln, Cape Fair, Missouri. You can reach out to his office (for appointments etc.) via phone at
(417) 669-9382.
John R Driver is licensed to practice in Missouri (license number 058819) 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 1790770451.
Provider's Profile
| Full Name | John R Driver |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 806 Lakehome Ln, Cape Fair, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1790770451
- Provider Enumeration Date: 09/19/2005
- Last Update Date: 10/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 6507813946
- Enrollment ID: I20050608001041
Medical Identifiers
Medical identifiers for John R Driver such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790770451 | NPI | - | NPPES |
| 194111 | Other | MO | BCBS |
| 912834686 | Medicaid | MO | |
| 22941 | Other | MO | COX HEALTH |
| 158514001 | Medicaid | AR | |
| 210165 | Other | MO | HEALTHLINK |
| 912834611 | Medicaid | MO | |
| P00217677 | Other | MO | RAILROAD |
| 200089370A | Medicaid | OK | |
| 20174319965616B008 | Other | MO | TRICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 058819 (Missouri) | 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. John R Driver allows following entities to bill medicare on his behalf.
| Entity Name | Cox-monett Hospital, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669687125
PECOS PAC ID: 0345236667
Enrollment ID: O20040521000080 |
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| Entity Name | White River Anesthesia Associates, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013973296
PECOS PAC ID: 0042264236
Enrollment ID: O20050310000393 |
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| Entity Name | Lester E Cox Medical Centers |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174952212
PECOS PAC ID: 1658509864
Enrollment ID: O20140115001602 |
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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. John R Driver 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 |
|---|
John R Driver, CRNA
806 Lakehome Ln,
Cape Fair, MO 65624-5305
Ph: () - | John R Driver, CRNA
806 Lakehome Ln,
Cape Fair, MO 65624-5305
Ph: (417) 669-9382 |
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