Mr Adam Sutterfield, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Newport, Arkansas. He graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Jefferson Regional Anesthesia Llc and his current practice location is
1205 Mclain St, Newport, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(870) 523-8911.
Mr Adam Sutterfield is licensed to practice in Arkansas (license number R77567) 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 1952662553.
Provider's Profile
| Full Name | Mr Adam Sutterfield |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 12 Years |
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| Location | 1205 Mclain St, Newport, Arkansas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Adam Sutterfield graduated from nursing school in 2012
NPI Data:
- NPI Number: 1952662553
- Provider Enumeration Date: 05/31/2012
- Last Update Date: 05/31/2012
Medicare PECOS Information:
- PECOS PAC ID: 8123274404
- Enrollment ID: I20120802000505
Medical Identifiers
Medical identifiers for Mr Adam Sutterfield such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1952662553 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | R77567 (Arkansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Jefferson Regional Anesthesia Llc | 6204171846 | 15 |
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. Mr Adam Sutterfield allows following entities to bill medicare on his behalf.
| Entity Name | Mountain Home Surgery Center |
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| Entity Type | Part B Supplier - Ambulatory Surgical Center |
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| Entity Identifiers | NPI Number: 1205978780
PECOS PAC ID: 0345479655
Enrollment ID: O20140208000073 |
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| Entity Name | Lifelinc Anesthesia V, P.a. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063907244
PECOS PAC ID: 8921359712
Enrollment ID: O20180918001267 |
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| Entity Name | Jefferson Regional Anesthesia Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205301587
PECOS PAC ID: 6204171846
Enrollment ID: O20181231000163 |
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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. Mr Adam Sutterfield 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 |
|---|
Mr Adam Sutterfield, CRNA
1205 Mclain St,
Newport, AR 72112-3533
Ph: (870) 523-8911 | Mr Adam Sutterfield, CRNA
1205 Mclain St,
Newport, AR 72112-3533
Ph: (870) 523-8911 |
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