Mr Eddie L Fontenot, CRNA in Winnsboro, TX - Medicare Nurse Anesthetist, Certified Registered

Mr Eddie L Fontenot, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Winnsboro, Texas. His current practice location is 719 W Coke Rd, Winnsboro, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 707-4768.

Mr Eddie L Fontenot is licensed to practice in Texas (license number 736281) 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 1124071295.

Contact Information

	Mr Eddie L Fontenot, CRNA
	719 W Coke Rd, Winnsboro, TX 75494-3011
	(903) 707-4768
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Eddie L Fontenot
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	719 W Coke Rd, Winnsboro, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124071295
Provider Enumeration Date: 05/18/2006
Last Update Date: 08/17/2011

Medicare PECOS Information:

PECOS PAC ID: 7911819081
Enrollment ID: I20051130000097

Medical Identifiers

Medical identifiers for Mr Eddie L Fontenot such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124071295	NPI	-	NPPES
1892952-03	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	736281 (Texas)	Primary

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 Eddie L Fontenot allows following entities to bill medicare on his behalf.

Entity Name	Anesthesia Dynamics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20201020002548

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 Eddie L Fontenot 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 Eddie L Fontenot, CRNA 3835 County Road 4560, Winnsboro, TX 75494-8056 Ph: (903) 707-4768	Mr Eddie L Fontenot, CRNA 719 W Coke Rd, Winnsboro, TX 75494-3011 Ph: (903) 707-4768

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Winnsboro, TX

Mr. Juan Francisco Quintana, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 719 W Coke Rd, Presbyterian Hospital Winnsboro, Winnsboro, TX 75494 Phone: 903-342-5227 Fax: 903-342-4121
Mr. Michael Wayne Phillips, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 719 W Coke Rd, Presbyterian Hospital Winnsboro, Winnsboro, TX 75494 Phone: 903-342-5227 Fax: 903-342-4121
Mr. Theodore Knox Gregory Ii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 719 W Coke Road, Presbyterian Hospital Winnsboro, Winnsboro, TX 75494 Phone: 903-342-5227 Fax: 903-342-4121

Mr Eddie L Fontenot, CRNA - Medicare Nurse Anesthetist, Certified Registered in Winnsboro, TX