Madison Jo Jimison, CRNA - Medicare Nurse Anesthetist, Certified Registered in South Bend, IN

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Madison Jo Jimison, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in South Bend, Indiana. Her current practice location is 615 N Michigan St, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 647-1000.

Madison Jo Jimison is licensed to practice in Indiana (license number 144620) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1952097339.

Contact Information

Madison Jo Jimison, CRNA
615 N Michigan St,
South Bend, IN 46601-1087
(574) 647-1000
Not Available

Map and Direction




Provider's Profile

Full NameMadison Jo Jimison
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location615 N Michigan St, South Bend, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1952097339
  • Provider Enumeration Date: 04/18/2023
  • Last Update Date: 06/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9537527155
  • Enrollment ID: I20230614000726

Medical Identifiers

Medical identifiers for Madison Jo Jimison such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952097339NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 28244374A (Indiana)Secondary
390200000XStudent In An Organized Health Care Education/training Program (Indiana)Secondary
367500000XNurse Anesthetist, Certified Registered 144620 (Indiana)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. Madison Jo Jimison allows following entities to bill medicare on her behalf.
Entity NameSoutheast Anesthesiologists, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548210685
PECOS PAC ID: 6800837980
Enrollment ID: O20050518001265
Entity NameIceland Anesthesia Management Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912578667
PECOS PAC ID: 7618372996
Enrollment ID: O20210825000860

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. Madison Jo Jimison 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
Madison Jo Jimison, CRNA
7688 E Scott St,
Dugger, IN 47848-8018

Ph: (419) 973-4158		Madison Jo Jimison, CRNA
615 N Michigan St,
South Bend, IN 46601-1087

Ph: (574) 647-1000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in South Bend, IN

Ms. Jamie Ann Davidson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1536 Crestwood Blvd, South Bend, IN 46635
Phone: 574-360-2619    
Alvaro Andres Osorio,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 615 N Michigan St, South Bend, IN 46601
Phone: 574-647-1000    
Hilda Bartel,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 615 N Michigan St, South Bend, IN 46601
Phone: 574-647-1000    
Mrs. Julie Anne Addis, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 53830 Generations Dr, South Bend, IN 46635
Phone: 574-271-0893    
Tyler Allen Rex,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 615 N Michigan St, South Bend, IN 46601
Phone: 754-647-1000    
Janet Vardaman, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 17501 Generations Dr, South Bend, IN 46635
Phone: 574-234-0049    

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.