Ernest Jay Gross, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Providence, Kentucky. He graduated from nursing school in 2001 and has 23 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Kings Daughters Medical Specialties Inc and his current practice location is
206 Locust St, Providence, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(205) 919-0863.
Ernest Jay Gross is licensed to practice in Iowa (license number D166143) 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 1043640840.
Provider's Profile
| Full Name | Ernest Jay Gross |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 23 Years |
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| Location | 206 Locust St, Providence, Kentucky |
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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:
- Ernest Jay Gross graduated from nursing school in 2001
NPI Data:
- NPI Number: 1043640840
- Provider Enumeration Date: 11/15/2013
- Last Update Date: 11/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 5395097539
- Enrollment ID: I20210708002724
Medical Identifiers
Medical identifiers for Ernest Jay Gross such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043640840 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | RN2329494 (Massachusetts) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP11000776 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 52674 (North Carolina) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 27565 (South Carolina) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | D166143 (Iowa) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Kings Daughters Medical Specialties Inc | 6103968029 | 326 |
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. Ernest Jay Gross allows following entities to bill medicare on his behalf.
| Entity Name | Commonwealth Anesthesia, Psc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437196300
PECOS PAC ID: 5092627521
Enrollment ID: O20031104000115 |
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| Entity Name | Kings Daughters Medical Specialties Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710215736
PECOS PAC ID: 6103968029
Enrollment ID: O20100217000538 |
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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. Ernest Jay Gross 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 |
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Ernest Jay Gross, CRNA
206 Locust St,
Providence, KY 42450-1514
Ph: (205) 919-0863 | Ernest Jay Gross, CRNA
206 Locust St,
Providence, KY 42450-1514
Ph: (205) 919-0863 |
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