Mallory Ladonna Bledsoe, CRNA in Dallas, TX - Medicare Certified Registered Nurse Anesthetist (crna)

Mallory Ladonna Bledsoe, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Dallas, Texas. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Northstar Anesthesia Iii Pa and her current practice location is 6606 Lbj Fwy Ste 200, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 715-5000.

Mallory Ladonna Bledsoe is licensed to practice in Texas (license number 1032184) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1437747789.

Contact Information

	Mallory Ladonna Bledsoe, CRNA
	6606 Lbj Fwy Ste 200, Dallas, TX 75240-6524
	(972) 715-5000
	(972) 715-9976

Map and Direction

Provider's Profile

Full Name	Mallory Ladonna Bledsoe
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	4 Years
Location	6606 Lbj Fwy Ste 200, Dallas, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mallory Ladonna Bledsoe graduated from nursing school in 2020

NPI Data:

NPI Number: 1437747789
Provider Enumeration Date: 01/04/2021
Last Update Date: 01/28/2022

Medicare PECOS Information:

PECOS PAC ID: 9931516069
Enrollment ID: I20210407002097

Medical Identifiers

Medical identifiers for Mallory Ladonna Bledsoe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437747789	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	1032184 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Longview Regional Medical Center	Longview, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northstar Anesthesia Iii Pa	0042630501	338

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. Mallory Ladonna Bledsoe allows following entities to bill medicare on her behalf.

Entity Name	Northstar Anesthesia Iii Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356968952 PECOS PAC ID: 0042630501 Enrollment ID: O20201022000080

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. Mallory Ladonna Bledsoe 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
Mallory Ladonna Bledsoe, CRNA Po Box 840853, Dallas, TX 75284-0853 Ph: (972) 233-1999	Mallory Ladonna Bledsoe, CRNA 6606 Lbj Fwy Ste 200, Dallas, TX 75240-6524 Ph: (972) 715-5000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Dallas, TX

Mrs. Charity Cabrera Magcalas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12222 Merit Dr Ste 600, Dallas, TX 75251 Phone: 972-715-5000 Fax: 972-715-9976
Jennie A Potts, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13601 Preston Rd, 1000w, Dallas, TX 75240 Phone: 972-715-5000
Eric Lara, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5200 Harry Hines Blvd, Dallas, TX 75235 Phone: 469-419-2850
Ms. Justina Osagioduwa Nwokedi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6606 Lbj Fwy Ste 200, Dallas, TX 75240 Phone: 972-715-5000 Fax: 972-715-9976
Lauren Carter Segerson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12222 Merit Dr Ste 600, Dallas, TX 75251 Phone: 972-715-5000 Fax: 972-715-9976
Hannah Neipp Murdock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12222 Merit Dr Ste 600, Dallas, TX 75251 Phone: 972-715-5000 Fax: 972-715-9976
Jeannie K Murphy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6606 Lbj Fwy, Suite 200, Dallas, TX 75240 Phone: 972-715-5000 Fax: 972-715-9976

Mallory Ladonna Bledsoe, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Dallas, TX