Justin Humphreys, CRNA in Duarte, CA - Medicare Nurse Anesthetist, Certified Registered

Justin Humphreys, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Duarte, California. His current practice location is 1500 Duarte Rd, Duarte, California. You can reach out to his office (for appointments etc.) via phone at (800) 826-4673.

Justin Humphreys is licensed to practice in California (license number 95002370) 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 1255170791.

Contact Information

	Justin Humphreys, CRNA
	1500 Duarte Rd, Duarte, CA 91010-3012
	(800) 826-4673
	Not Available

Map and Direction

Provider's Profile

Full Name	Justin Humphreys
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	1500 Duarte Rd, Duarte, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255170791
Provider Enumeration Date: 05/23/2024
Last Update Date: 05/23/2024

Medicare PECOS Information:

PECOS PAC ID: 2466991211
Enrollment ID: I20240826001426

Medical Identifiers

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

Identifier	Type	State	Issuer
1255170791	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	95002370 (California)	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. Justin Humphreys allows following entities to bill medicare on his behalf.

Entity Name	City Of Hope Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871886366 PECOS PAC ID: 3779751656 Enrollment ID: O20110720000244

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 Humphreys 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 Humphreys, CRNA 1153 Melrose Ave Apt 3, Glendale, CA 91202-2434 Ph: (801) 200-4117	Justin Humphreys, CRNA 1500 Duarte Rd, Duarte, CA 91010-3012 Ph: (800) 826-4673

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Duarte, CA

Wesley Adam Easter, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 800-826-4673
Joyce Pan, DNAP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 800-826-4673
Ms. Tina Marie Tersine, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 626-256-4673
Richie Victor Gallegos, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 626-256-4673
Nikola Andrew Lazovich, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 626-256-4673 Fax: 626-408-3911
Philip Joseph Klain, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 626-256-4673

Justin Humphreys, CRNA - Medicare Nurse Anesthetist, Certified Registered in Duarte, CA