Mr Justin Gaddis, CRNA in Tyler, TX - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Justin Gaddis, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tyler, Texas. He graduated from nursing school 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 Perioperative Services Of Mississippi, Llc and his current practice location is 800 E Dawson St, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 593-8441.

Mr Justin Gaddis is licensed to practice in Texas (license number 151866) 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 1992042246.

Contact Information

	Mr Justin Gaddis, CRNA
	800 E Dawson St, Tyler, TX 75701-2036
	(903) 593-8441
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Justin Gaddis
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	12 Years
Location	800 E Dawson St, Tyler, Texas
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 Justin Gaddis graduated from nursing school in 2012

NPI Data:

NPI Number: 1992042246
Provider Enumeration Date: 01/07/2013
Last Update Date: 10/13/2014

Medicare PECOS Information:

PECOS PAC ID: 8022256254
Enrollment ID: I20170920002572

Medical Identifiers

Medical identifiers for Mr Justin Gaddis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992042246	NPI	-	NPPES
8305UE	Other	TX	BCBS
75-0818167-015	Other	TX	TRICARE
P01200603	Other	TX	RAIL ROAD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	151866 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mississippi Baptist Medical Center	Jackson, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Perioperative Services Of Mississippi, Llc	8921365255	102

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 Justin Gaddis allows following entities to bill medicare on his behalf.

Entity Name	Jackson Anesthesia Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780737577 PECOS PAC ID: 3870585904 Enrollment ID: O20040331000285

Entity Name	Perioperative Services Of Mississippi, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881123123 PECOS PAC ID: 8921365255 Enrollment ID: O20171122000010

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 Justin Gaddis 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 Justin Gaddis, CRNA Po Box 841656, Dallas, TX 75284-1656 Ph: (903) 531-5000	Mr Justin Gaddis, CRNA 800 E Dawson St, Tyler, TX 75701-2036 Ph: (903) 593-8441

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Tyler, TX

Mrs. Glenda R Sealey, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1424 East Front, Tyler, TX 75702 Phone: 903-595-4144 Fax: 903-596-7541
John Glynn Jeansonne, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 S Beckham Ave, Tyler, TX 75701 Phone: 903-526-1068 Fax: 903-593-4290
Jeffrey Manglicmot, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-531-4522
Harold Richie Bandalan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 S Beckham Ave, Tyler, TX 75701 Phone: 903-526-1068 Fax: 903-593-4290
Jeffrey David Barker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 S Beckham Ave, Tyler, TX 75701 Phone: 903-597-0351
Gregory Mallett, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-606-4522
Cara L Dewolfe, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-593-8441

Mr Justin Gaddis, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Tyler, TX