Mr Andrew J Irizarry, DNP, CRNA - Medicare Nurse Anesthetist, Certified Registered in Tacoma, WA

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Mr Andrew J Irizarry, DNP, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tacoma, Washington. His current practice location is 9040 Jackson Ave, Tacoma, Washington. You can reach out to his office (for appointments etc.) via phone at (330) 509-3934.

Mr Andrew J Irizarry is licensed to practice in California (license number 95001692) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003380429.

Contact Information

Mr Andrew J Irizarry, DNP, CRNA
9040 Jackson Ave,
Tacoma, WA 98431-0001
(330) 509-3934
Not Available

Map and Direction




Provider's Profile

Full NameMr Andrew J Irizarry
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location9040 Jackson Ave, Tacoma, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003380429
  • Provider Enumeration Date: 01/18/2019
  • Last Update Date: 06/13/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4284000845
  • Enrollment ID: I20221021002674

Medical Identifiers

Medical identifiers for Mr Andrew J Irizarry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003380429NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered AP61080718 (Washington)Secondary
367500000XNurse Anesthetist, Certified Registered 95001692 (California)Primary
367500000XNurse Anesthetist, Certified Registered APRN.CRNA.0021021 (Ohio)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. Mr Andrew J Irizarry allows following entities to bill medicare on his behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678
Entity NameComfort Anesthesia Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043466550
PECOS PAC ID: 6002975489
Enrollment ID: O20081030000718
Entity NameConcierge Anesthesia
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447726997
PECOS PAC ID: 7012320500
Enrollment ID: O20201229003177
Entity NameCredence Anesthesia Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881381002
PECOS PAC ID: 9133586639
Enrollment ID: O20230526001011
Entity NameSamantha Polikowski Anesthesia Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851157028
PECOS PAC ID: 1951742543
Enrollment ID: O20240514002313

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 Andrew J Irizarry 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
Mr Andrew J Irizarry, DNP, CRNA
3116 Harts Lake Rd S,
Roy, WA 98580-9105

Ph: (330) 509-3934		Mr Andrew J Irizarry, DNP, CRNA
9040 Jackson Ave,
Tacoma, WA 98431-0001

Ph: (330) 509-3934

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Tacoma, WA

Michael John Means, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 9040 Jackson Ave, Tacoma, WA 98431
Phone: 253-968-2235    
Matthew Libid, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 9040 Jackson Ave, Tacoma, WA 98431
Phone: 203-768-5053    
Mrs. Elizabeth Katherine Mary Pulatie, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 9040 A Reid St, Tacoma, WA 98431
Phone: 253-968-1110    
Ms. Lisa Ann Petty, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 9040 Jackson Ave, Tacoma, WA 98431
Phone: 253-968-2252    Fax: 253-968-3278
Mr. Andrey Bobrovnikov, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1717 S J St, Tacoma, WA 98405
Phone: 253-426-6341    Fax: 253-426-6344
Craig Andrew Swank, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3209 S 23rd St, Suite 340, Tacoma, WA 98405
Phone: 253-503-2598    Fax: 253-404-0506

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.