Mr Jerry Edward Glattfelt, CRNA in Travis Afb, CA - Medicare Nurse Anesthetist, Certified Registered

Mr Jerry Edward Glattfelt, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Travis Afb, California. His current practice location is 100 Bodin Cir, 60 Th Msgs/sgcsa, Travis Afb, California. You can reach out to his office (for appointments etc.) via phone at (707) 423-5370.

Mr Jerry Edward Glattfelt is licensed to practice in Illinois (license number 041-232449) 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 1073594461.

Contact Information

	Mr Jerry Edward Glattfelt, CRNA
	100 Bodin Cir, 60 Th Msgs/sgcsa, Travis Afb, CA 94535-1804
	(707) 423-5370
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Jerry Edward Glattfelt
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	100 Bodin Cir, Travis Afb, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073594461
Provider Enumeration Date: 11/11/2005
Last Update Date: 09/01/2010

Medicare PECOS Information:

PECOS PAC ID: 0648338012
Enrollment ID: I20081029000491

Medical Identifiers

Medical identifiers for Mr Jerry Edward Glattfelt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073594461	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	041-232449 (Illinois)	Primary
367500000X	Nurse Anesthetist, Certified Registered	209-003657 APN LICEN (Illinois)	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 Jerry Edward Glattfelt allows following entities to bill medicare on his behalf.

Entity Name	Sheridan Healthcorp Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355

Entity Name	Anesthesiologists Of Greater Orlando Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457300998 PECOS PAC ID: 7416928536 Enrollment ID: O20040803000929

Entity Name	St Lucie Anesthesia Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700044252 PECOS PAC ID: 4284792706 Enrollment ID: O20081027000765

Entity Name	Anesthesia Physician Solutions Of South Florida, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104248699 PECOS PAC ID: 4688805286 Enrollment ID: O20140325000665

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 Jerry Edward Glattfelt 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 Jerry Edward Glattfelt, CRNA 1131 Park Ln, Suisun City, CA 94585-2878 Ph: (707) 428-4272	Mr Jerry Edward Glattfelt, CRNA 100 Bodin Cir, 60 Th Msgs/sgcsa, Travis Afb, CA 94535-1804 Ph: (707) 423-5370

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Travis Afb, CA

Mr. Martin Ockert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3589
Mr. David Lee Perkins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 708-423-3589
Michael Millar, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3339
Jorge Montequin, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3339
Shawna Mills Greiner, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3583
Gregory John Miles, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3605

Mr Jerry Edward Glattfelt, CRNA - Medicare Nurse Anesthetist, Certified Registered in Travis Afb, CA