Mr Jerry L Mixon, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Nacogdoches, TX

Mr Jerry L Mixon, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Nacogdoches, Texas. He graduated from nursing school in 1974 and has 50 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice The Center For Sight, Pa and his current practice location is 4920 Ne Stallings Dr, Nacogdoches, Texas. You can reach out to his office (for appointments etc.) via phone at (936) 569-9481.

Mr Jerry L Mixon is licensed to practice in Texas (license number 227393) 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 1306945944.

Contact Information

Mr Jerry L Mixon, CRNA
4920 Ne Stallings Dr,
Nacogdoches, TX 75965-1254
(936) 569-9481
(936) 462-4333

Map and Direction




Provider's Profile

Full NameMr Jerry L Mixon
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience50 Years
Location4920 Ne Stallings Dr, Nacogdoches, Texas
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 Jerry L Mixon graduated from nursing school in 1974
  NPI Data:
  • NPI Number: 1306945944
  • Provider Enumeration Date: 09/21/2006
  • Last Update Date: 03/02/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 0941387880
  • Enrollment ID: I20080402000861

Medical Identifiers

Medical identifiers for Mr Jerry L Mixon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306945944NPI-NPPES
088527903MedicaidTX
88693UOtherTXBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 227393 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Center For Sight, Pa03451370975

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 L Mixon allows following entities to bill medicare on his behalf.
Entity NameThe Center For Sight, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053494245
PECOS PAC ID: 0345137097
Enrollment ID: O20040228000122
Entity NameAc Provider Services Of Texas Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427280635
PECOS PAC ID: 5395883359
Enrollment ID: O20091112000394
Entity NameMain Street Anesthesia Of Texas Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700381761
PECOS PAC ID: 1052675667
Enrollment ID: O20180508000762

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 L Mixon 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 Jerry L Mixon, CRNA
Po Box 632114,
Nacogdoches, TX 75963-2114

Ph: (936) 568-0087
Mr Jerry L Mixon, CRNA
4920 Ne Stallings Dr,
Nacogdoches, TX 75965-1254

Ph: (936) 569-9481

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Nacogdoches, TX

Ms. Nancy Joanne Batzloff, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 919 County Road 2131, Nacogdoches, TX 75965
Phone: 936-560-1338    
Wallace D Womack, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1204 N Mound St, Nacogdoches, TX 75961
Phone: 936-568-8525    
Mr. Ronald Anthony Freeland, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1204 N Mound St, Nacogdoches, TX 75961
Phone: 936-564-4611    
James Robert Stockman Jr., CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1204 N Mound St, Nacogdoches, TX 75961
Phone: 936-569-4164    
Mrs. Kendra Brooks Stockman, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3610 N University Dr, Nacogdoches, TX 75965
Phone: 936-254-4703    
Mr. James H. Newberg, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1204 N Mound St, Nacogdoches, TX 75961
Phone: 936-568-8444    

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.