Mr Jason Niles Richard, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Wright-patterson Afb, Ohio. His current practice location is
88 Mdg, 4881 Sugar Maple Dr, Wright-patterson Afb, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 304-2451.
Mr Jason Niles Richard is licensed to practice in Ohio (license number RN.359580-COA1) 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 1770620262.
Provider's Profile
| Full Name | Mr Jason Niles Richard |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 88 Mdg, Wright-patterson Afb, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1770620262
- Provider Enumeration Date: 01/31/2007
- Last Update Date: 03/28/2018
Medicare PECOS Information:
- PECOS PAC ID: 7810029113
- Enrollment ID: I20100722000497
Medical Identifiers
Medical identifiers for Mr Jason Niles Richard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770620262 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | RN.359580-COA1 (Ohio) | 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 Jason Niles Richard allows following entities to bill medicare on his behalf.
| Entity Name | Dayton Anesthesia & Pain Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629401898
PECOS PAC ID: 8022245372
Enrollment ID: O20131212001655 |
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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. Mr Jason Niles Richard 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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Mr Jason Niles Richard, CRNA
88 Mdg, 4881 Sugar Maple Dr,
Wright-patterson Afb, OH 43433-5529
Ph: (937) 304-2451 | Mr Jason Niles Richard, CRNA
88 Mdg, 4881 Sugar Maple Dr,
Wright-patterson Afb, OH 43433-5529
Ph: (937) 304-2451 |
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