Mr Jeremy Gormly, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Sulphur, LA

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Mr Jeremy Gormly, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Sulphur, Louisiana. He went to University Of Arkansas College Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Calcasieu Cameron Hospital Service District and his current practice location is 701 Cypress St, Sulphur, Louisiana. You can reach out to his office (for appointments etc.) via phone at (337) 842-5973.

Mr Jeremy Gormly is licensed to practice in Louisiana (license number AP06850) 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 1689930836.

Contact Information

Mr Jeremy Gormly, CRNA
701 Cypress St,
Sulphur, LA 70663-5053
(337) 842-5973
Not Available

Map and Direction




Provider's Profile

Full NameMr Jeremy Gormly
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience12 Years
Location701 Cypress St, Sulphur, Louisiana
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 Jeremy Gormly attended and graduated from University Of Arkansas College Of Medicine in 2012
  NPI Data:
  • NPI Number: 1689930836
  • Provider Enumeration Date: 04/02/2012
  • Last Update Date: 01/22/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9335399831
  • Enrollment ID: I20121018000221

Medical Identifiers

Medical identifiers for Mr Jeremy Gormly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689930836NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN122569 (Louisiana)Secondary
367500000XNurse Anesthetist, Certified Registered AP06850 (Louisiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
West Calcasieu Cameron HospitalSulphur, LAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Calcasieu Cameron Hospital Service District105222144733

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 Jeremy Gormly allows following entities to bill medicare on his behalf.
Entity NameCalcasieu Cameron Hospital Service District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093719932
PECOS PAC ID: 1052221447
Enrollment ID: O20081104000079

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 Jeremy Gormly 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 Jeremy Gormly, CRNA
434 Crestwood St,
Lake Charles, LA 70605-6820

Ph: () -		Mr Jeremy Gormly, CRNA
701 Cypress St,
Sulphur, LA 70663-5053

Ph: (337) 842-5973

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Sulphur, LA

Mr. Shawn Michael Duhon, MSN, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 701 Cypress St, Sulphur, LA 70663
Phone: 337-527-7034    

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.