Justin Tate Endersby, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Woodward, OK

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Justin Tate Endersby, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Woodward, Oklahoma. He graduated from nursing school in 1999 and has 25 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Newman Memorial Hospital, Inc, Western Oklahoma Anesthesia Consultants Pllc, Alva Hospital Authority and his current practice location is 900 17th St, Woodward, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 254-8492.

Justin Tate Endersby is licensed to practice in Oklahoma (license number R0084524) 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 1831138627.

Contact Information

Justin Tate Endersby, CRNA
900 17th St,
Woodward, OK 73801-2448
(580) 254-8492
Not Available

Map and Direction




Provider's Profile

Full NameJustin Tate Endersby
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience25 Years
Location900 17th St, Woodward, Oklahoma
Accepts Medicare AssignmentsYes. 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 Tate Endersby graduated from nursing school in 1999
  NPI Data:
  • NPI Number: 1831138627
  • Provider Enumeration Date: 06/06/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9032122247
  • Enrollment ID: I20060711000445

Medical Identifiers

Medical identifiers for Justin Tate Endersby such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831138627NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered R0084524 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Alliancehealth WoodwardWoodward, OKHospital
Share Medical CenterAlva, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Newman Memorial Hospital, Inc256748236720
Western Oklahoma Anesthesia Consultants Pllc458792486531
Alva Hospital Authority559775530614

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 Tate Endersby allows following entities to bill medicare on his behalf.
Entity NameAlva Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679684682
PECOS PAC ID: 5597755306
Enrollment ID: O20040514000014
Entity NameNewman Memorial Hospital, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083617807
PECOS PAC ID: 2567482367
Enrollment ID: O20051122000749
Entity NameNorthstar Anesthesia Of Oklahoma, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043516628
PECOS PAC ID: 1254519275
Enrollment ID: O20110622000357
Entity NameWestern Oklahoma Anesthesia Consultants Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881102614
PECOS PAC ID: 4587924865
Enrollment ID: O20180206000663
Entity NameWestern Oklahoma Anesthesia Consultants Woodward Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427615731
PECOS PAC ID: 3779817960
Enrollment ID: O20190621000715

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 Tate Endersby 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
Justin Tate Endersby, CRNA
Rr 1 Box 234,
Woodward, OK 73801-9712

Ph: (580) 256-3956		Justin Tate Endersby, CRNA
900 17th St,
Woodward, OK 73801-2448

Ph: (580) 254-8492

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Woodward, OK

Ms. Jeannean Joy Jent, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 900 17th St, Woodward, OK 73801
Phone: 580-256-5511    
Mrs. Marisa Chaffee Endersby, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 900 17th St, Woodward, OK 73801
Phone: 580-254-8688    
Patsy S Bynum, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 900 17th St, Woodward, OK 73801
Phone: 580-254-8694    
L Ann Farrar, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 900 17th Street, Woodward, OK 73801
Phone: 580-254-8694    

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.