Mr Douglas Ray Sparks, CRNA in Killeen, TX - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Douglas Ray Sparks, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Killeen, Texas. He graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Northstar Anesthesia Pa and his current practice location is 2201 Clear Creek Rd, Killeen, Texas. You can reach out to his office (for appointments etc.) via phone at (254) 724-2111.

Mr Douglas Ray Sparks is licensed to practice in Texas (license number AP116234) 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 1619024379.

Contact Information

	Mr Douglas Ray Sparks, CRNA
	2201 Clear Creek Rd, Killeen, TX 76549-4110
	(254) 724-2111
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Douglas Ray Sparks
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	18 Years
Location	2201 Clear Creek Rd, Killeen, Texas
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 Douglas Ray Sparks graduated from nursing school in 2006

NPI Data:

NPI Number: 1619024379
Provider Enumeration Date: 01/04/2007
Last Update Date: 02/29/2024

Medicare PECOS Information:

PECOS PAC ID: 0042314338
Enrollment ID: I20080215000514

Medical Identifiers

Medical identifiers for Mr Douglas Ray Sparks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619024379	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	AP116234 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Adventhealth Central Texas	Killeen, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northstar Anesthesia Pa	7315907128	265

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 Douglas Ray Sparks allows following entities to bill medicare on his behalf.

Entity Name	Northstar Anesthesia Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912978610 PECOS PAC ID: 7315907128 Enrollment ID: O20041015000685

Entity Name	Youngs Professional Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20120104000614

Entity Name	Northstar Anesthesia Ii Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477066405 PECOS PAC ID: 2365701737 Enrollment ID: O20180110000102

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 Douglas Ray Sparks 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 Douglas Ray Sparks, CRNA Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-2111	Mr Douglas Ray Sparks, CRNA 2201 Clear Creek Rd, Killeen, TX 76549-4110 Ph: (254) 724-2111

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Killeen, TX

Melizza Saenz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3800 S W S Young Dr Ste 201, Killeen, TX 76542 Phone: 254-245-9175 Fax: 254-213-7771
Michael Mwasumbi, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 2201 S Clear Creek Rd, Killeen, TX 76549 Phone: 254-526-7523 Fax: 254-724-8572
Kristi L Lefrere, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2201 Clear Creek Rd, Killeen, TX 76549 Phone: 254-526-7523
Detonya Necol Tulsie, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2201 S Clear Creek Rd, Killeen, TX 76549 Phone: 254-724-2111
Mr. Jeffrey Wayne Albritton, MSN-CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3800 S W S Young Dr Ste 201, Killeen, TX 76542 Phone: 254-245-9175 Fax: 254-213-7771
Tammy A Laughlin, APN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2201 S Clear Creek Rd, Killeen, TX 76549 Phone: 254-526-7523
Cody Chachere, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2201 Clear Creek Rd, Killeen, TX 76549 Phone: 254-526-7523

Mr Douglas Ray Sparks, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Killeen, TX