Justin David Smallridge, CRNA in Bridgeport, WV - Medicare Certified Registered Nurse Anesthetist (crna)

Justin David Smallridge, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Bridgeport, West Virginia. He graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Northstar Anesthesia Of West Virginia Pllc and his current practice location is 327 Medical Park Dr, Bridgeport, West Virginia. You can reach out to his office (for appointments etc.) via phone at (681) 342-1000.

Justin David Smallridge is licensed to practice in West Virginia (license number 58541) 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 1417904848.

Contact Information

	Justin David Smallridge, CRNA
	327 Medical Park Dr, Bridgeport, WV 26330-9006
	(681) 342-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Justin David Smallridge
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	19 Years
Location	327 Medical Park Dr, Bridgeport, West Virginia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Justin David Smallridge graduated from nursing school in 2005

NPI Data:

NPI Number: 1417904848
Provider Enumeration Date: 05/30/2006
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 2769491422
Enrollment ID: I20060407000638

Medical Identifiers

Medical identifiers for Justin David Smallridge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417904848	NPI	-	NPPES
0207026000	Other	WV	MEDICAID GROUP
3810005046	Medicaid	WV
P00974070	Other	WV	MEDICARE RAILROAD
9333201	Other	WV	MEDICARE GROUP
1417904848	Other	WV	MT STATE BLUE CROSS & BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	58541 (West Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Stonewall Jackson Memorial Hospital	Weston, WV	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northstar Anesthesia Of West Virginia Pllc	2668750241	114

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. Justin David Smallridge allows following entities to bill medicare on his behalf.

Entity Name	Northstar Anesthesia Of West Virginia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821448150 PECOS PAC ID: 2668750241 Enrollment ID: O20161102001322

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. Justin David Smallridge 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
Justin David Smallridge, CRNA 327 Medical Park Dr, Bridgeport, WV 26330-9006 Ph: (681) 342-1000	Justin David Smallridge, CRNA 327 Medical Park Dr, Bridgeport, WV 26330-9006 Ph: (681) 342-1000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Bridgeport, WV

Sarah Jessica Harvey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1370 Johnson Ave Ste 102, Bridgeport, WV 26330 Phone: 681-342-3453 Fax: 304-842-2333
Diana Lynn Hackett, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2157 Green Valley Rd, Bridgeport, WV 26330 Phone: 304-699-4103
Jean C Coger, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 327 Medical Park Dr, Anesthesia Dept, Bridgeport, WV 26330 Phone: 681-342-1610 Fax: 681-342-1626
Mr. Kristopher Richard Jangrow, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 327 Medical Park Drive, Bridgeport, WV 26330 Phone: 681-342-1000
Glenn M Morales, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 304-624-2121
Mr. Caleb David Martin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 681-342-1000
Christopher Hagedorn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 681-342-1000

Justin David Smallridge, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Bridgeport, WV