Mr Jeffrey Lee Jerde, CRNA in Tomah, WI - Medicare Nurse Anesthetist, Certified Registered

Mr Jeffrey Lee Jerde, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tomah, Wisconsin. His current practice location is 501 Gopher Dr, Tomah, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 372-2181.

Mr Jeffrey Lee Jerde is licensed to practice in Wisconsin (license number 81297-030) 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 1780614941.

Contact Information

	Mr Jeffrey Lee Jerde, CRNA
	501 Gopher Dr, Tomah, WI 54660-4513
	(608) 372-2181
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Jeffrey Lee Jerde
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	501 Gopher Dr, Tomah, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780614941
Provider Enumeration Date: 07/04/2006
Last Update Date: 01/22/2021

Medicare PECOS Information:

PECOS PAC ID: 8820092869
Enrollment ID: I20060906000510

Medical Identifiers

Medical identifiers for Mr Jeffrey Lee Jerde such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780614941	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	R 172688-8 (Minnesota)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	81297-030 (Wisconsin)	Primary
367500000X	Nurse Anesthetist, Certified Registered	149023 (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 Jeffrey Lee Jerde allows following entities to bill medicare on his behalf.

Entity Name	Tomah Memorial Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992970453 PECOS PAC ID: 6901897016 Enrollment ID: O20040519000123

Entity Name	Upland Hills Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821258740 PECOS PAC ID: 3072415553 Enrollment ID: O20081016000442

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 Jeffrey Lee Jerde 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 Jeffrey Lee Jerde, CRNA 501 Gopher Dr, Tomah, WI 54660-4513 Ph: (608) 372-2181	Mr Jeffrey Lee Jerde, CRNA 501 Gopher Dr, Tomah, WI 54660-4513 Ph: (608) 372-2181

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Tomah, WI

Kimberly Ann Tozer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 501 Gopher Dr, Tomah, WI 54660 Phone: 608-372-2181
Cole B Dolan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 501 Gopher Dr, Tomah, WI 54660 Phone: 608-372-2181
Mr. David Roy Demask, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 501 Gopher Dr, Tomah, WI 54660 Phone: 608-372-2181
Daniel R Langan Ii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 501 Gopher Dr, Tomah, WI 54660 Phone: 608-697-4277
Andrew Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 501 Gopher Dr, Tomah, WI 54660 Phone: 608-372-2181

Mr Jeffrey Lee Jerde, CRNA - Medicare Nurse Anesthetist, Certified Registered in Tomah, WI