Mr Jason Shane Bruce, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Okmulgee, Oklahoma. His current practice location is
1401 Morris Dr, Okmulgee, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 756-3177.
Mr Jason Shane Bruce is licensed to practice in Oklahoma (license number R 0085091) 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 1740218866.
Provider's Profile
| Full Name | Mr Jason Shane Bruce |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 1401 Morris Dr, Okmulgee, Oklahoma |
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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: 1740218866
- Provider Enumeration Date: 06/29/2006
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 2264402866
- Enrollment ID: I20060928000267
Medical Identifiers
Medical identifiers for Mr Jason Shane Bruce such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1740218866 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | R 0085091 (Oklahoma) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 2004003392 (Missouri) | Secondary |
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 Shane Bruce allows following entities to bill medicare on his behalf.
| Entity Name | Northstar Anesthesia Of Oklahoma, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043516628
PECOS PAC ID: 1254519275
Enrollment ID: O20110622000357 |
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| Entity Name | Emergenchealth Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467970897
PECOS PAC ID: 1355606641
Enrollment ID: O20190618003098 |
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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 Shane Bruce 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 Jason Shane Bruce, CRNA
18162 Old Morris Hwy,
Okmulgee, OK 74447
Ph: (918) 733-9824 | Mr Jason Shane Bruce, CRNA
1401 Morris Dr,
Okmulgee, OK 74447-6429
Ph: (918) 756-3177 |
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