Mr Clint Albert Bollock, MSN, CRNA in Omaha, NE - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Clint Albert Bollock, MSN, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Omaha, Nebraska. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Orthoanesthesia Pc, Leighow Anesthesia And Medical Aesthetics Llc and his current practice location is 2808 S 143rd Plz, Omaha, Nebraska. You can reach out to his office (for appointments etc.) via phone at (402) 609-1485.

Mr Clint Albert Bollock is licensed to practice in Nebraska (license number 101417) 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 1629497755.

Contact Information

	Mr Clint Albert Bollock, MSN, CRNA
	2808 S 143rd Plz, Omaha, NE 68144-5611
	(402) 609-1485
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Clint Albert Bollock
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	10 Years
Location	2808 S 143rd Plz, Omaha, Nebraska
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Clint Albert Bollock graduated from nursing school in 2014

NPI Data:

NPI Number: 1629497755
Provider Enumeration Date: 04/16/2014
Last Update Date: 10/04/2022

Medicare PECOS Information:

PECOS PAC ID: 8628291101
Enrollment ID: I20170626001207

Medical Identifiers

Medical identifiers for Mr Clint Albert Bollock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629497755	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	101417 (Nebraska)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Nebraska Orthopaedic Hospital	Omaha, NE	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Orthoanesthesia Pc	2860826443	22
Leighow Anesthesia And Medical Aesthetics Llc	5597086744	14

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 Clint Albert Bollock allows following entities to bill medicare on his behalf.

Entity Name	Leighow Anesthesia & Medical Aesthetics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376936112 PECOS PAC ID: 5597086744 Enrollment ID: O20150601000518

Entity Name	Orthoanesthesia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184265274 PECOS PAC ID: 2860826443 Enrollment ID: O20200107003507

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 Clint Albert Bollock 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 Clint Albert Bollock, MSN, CRNA 17245 Colony Dr, Omaha, NE 68136-1403 Ph: (402) 206-1757	Mr Clint Albert Bollock, MSN, CRNA 2808 S 143rd Plz, Omaha, NE 68144-5611 Ph: (402) 609-1485

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Omaha, NE

Mrs. Dorothy Valasek Adley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8051 West Center Rd., Omaha, NE 68124 Phone: 402-391-3333
Jenna Sullivan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7500 Mercy Road, Omaha, NE 68124 Phone: 402-398-6060
Mrs. Caressa Lynn Kiichler, DNAP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 988102 Nebraska Medical Ctr, Omaha, NE 68198 Phone: 402-559-4081 Fax: 402-559-7372
Taylor Mueller, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 988102 Nebraska Medical Ctr, Omaha, NE 68198 Phone: 402-559-4000
John Michael Mccabe, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8051 W Center Rd, Omaha, NE 68124 Phone: 402-391-3333 Fax: 402-391-8593
Janet J. Lemonds, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8303 Dodge St, Omaha, NE 68114 Phone: 402-354-4000
Leslie Erin Bonnet, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Emile @ 42nd St, Omaha, NE 68198 Phone: 402-559-4081 Fax: 402-559-7372

Mr Clint Albert Bollock, MSN, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Omaha, NE