Marla M Jordon-perkins, CRNA in Springfield, IL - Medicare Nurse Anesthetist, Certified Registered

Marla M Jordon-perkins, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Springfield, Illinois. Her current practice location is 800 E Carpenter St, Room 2k64, Springfield, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 525-5643.

Marla M Jordon-perkins is licensed to practice in Illinois (license number 041-272565) 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 1386813293.

Contact Information

	Marla M Jordon-perkins, CRNA
	800 E Carpenter St, Room 2k64, Springfield, IL 62769-0002
	(217) 525-5643
	(217) 544-2521

Map and Direction

Provider's Profile

Full Name	Marla M Jordon-perkins
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	800 E Carpenter St, Springfield, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386813293
Provider Enumeration Date: 02/25/2008
Last Update Date: 05/20/2024

Medicare PECOS Information:

PECOS PAC ID: 3870662042
Enrollment ID: I20080514000796

Medical Identifiers

Medical identifiers for Marla M Jordon-perkins such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386813293	NPI	-	NPPES
209006988	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	041-272565 (Illinois)	Primary
367500000X	Nurse Anesthetist, Certified Registered	8927 (Wisconsin)	Secondary

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. Marla M Jordon-perkins allows following entities to bill medicare on her behalf.

Entity Name	Associated Anesthesiologists Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558306480 PECOS PAC ID: 6305744129 Enrollment ID: O20031230000544

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. Marla M Jordon-perkins 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
Marla M Jordon-perkins, CRNA 800 East Carpenter Street, Room 2k64, Springfield, IL 62769-0001 Ph: (217) 525-5643	Marla M Jordon-perkins, CRNA 800 E Carpenter St, Room 2k64, Springfield, IL 62769-0002 Ph: (217) 525-5643

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Springfield, IL

Douglas Mcdonald Childs, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 800 E Carpenter St, Springfield, IL 62704 Phone: 217-525-5643 Fax: 217-544-2521
Carol A Gorden, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-788-3754 Fax: 217-788-7071
Ann R Larson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Anesthesia Department, Springfield, IL 62781 Phone: 217-788-3754 Fax: 217-788-7071
Jenna Younker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62702 Phone: 217-525-5643 Fax: 217-544-2521
Kelsey A Wallace, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-788-3000
Delores A Gallo, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1025 S 6th St, Springfield, IL 62703 Phone: 217-528-7541
Larry D. Sartore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 800 East Carpenter Street, Room 2k64, Springfield, IL 62769 Phone: 217-525-5643 Fax: 217-544-3311

Marla M Jordon-perkins, CRNA - Medicare Nurse Anesthetist, Certified Registered in Springfield, IL