Mr Jeremy Gormly, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Sulphur, Louisiana. 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.
Provider's Profile
Full Name | Mr Jeremy Gormly |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 701 Cypress St, Sulphur, Louisiana |
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Accepts Medicare Assignments | Yes. 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 in
NPI Data:
- NPI Number: 1689930836
- Provider Enumeration Date: 04/02/2012
- Last Update Date: 01/22/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mr Jeremy Gormly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689930836 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | RN122569 (Louisiana) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | AP06850 (Louisiana) | Primary |
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 Address | Practice 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 |
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