Mr Jack B Waters, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Saint George, UT

  1. Home
  2. Nurse Anesthetist - CR
  3. UT
  4. Saint George
Mr Jack B Waters, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Saint George, Utah. He graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Allied Anesthesia Medical Group Inc and his current practice location is 2365 E Segovia Dr, Saint George, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 773-5585.

Mr Jack B Waters is licensed to practice in Oregon (license number 201160004CRNA) 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 1407152358.

Contact Information

Mr Jack B Waters, CRNA
2365 E Segovia Dr,
Saint George, UT 84790-7487
(435) 773-5585
Not Available

Map and Direction




Provider's Profile

Full NameMr Jack B Waters
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience14 Years
Location2365 E Segovia Dr, Saint George, Utah
Accepts Medicare AssignmentsYes. 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 Jack B Waters graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1407152358
  • Provider Enumeration Date: 02/09/2011
  • Last Update Date: 12/20/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1557534989
  • Enrollment ID: I20201104002900

Medical Identifiers

Medical identifiers for Mr Jack B Waters such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407152358NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 201160004CRNA (Oregon)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Allied Anesthesia Medical Group Inc6103728407167

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 Jack B Waters allows following entities to bill medicare on his behalf.
Entity NameAllied Anesthesia Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346267267
PECOS PAC ID: 6103728407
Enrollment ID: O20040126001001
Entity NameComfort Anesthesia Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043466550
PECOS PAC ID: 6002975489
Enrollment ID: O20081030000718

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 Jack B Waters 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 Jack B Waters, CRNA
2365 E Segovia Dr,
Saint George, UT 84790-7487

Ph: (435) 773-5585		Mr Jack B Waters, CRNA
2365 E Segovia Dr,
Saint George, UT 84790-7487

Ph: (435) 773-5585

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Saint George, UT


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.