Mr Terry Dean Boatman, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Atlanta, Texas. He graduated from nursing school in 1994 and has 30 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Shannon Clinic and his current practice location is
1007 S William St, Atlanta, Texas. You can reach out to his office (for appointments etc.) via phone at
(903) 799-3000.
Mr Terry Dean Boatman is licensed to practice in Texas (license number 657228) 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 1003952185.
Provider's Profile
| Full Name | Mr Terry Dean Boatman |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 30 Years |
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| Location | 1007 S William St, Atlanta, Texas |
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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. |
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Medical Education and Training:
- Mr Terry Dean Boatman graduated from nursing school in 1994
NPI Data:
- NPI Number: 1003952185
- Provider Enumeration Date: 01/29/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2860469947
- Enrollment ID: I20040916001043
Medical Identifiers
Medical identifiers for Mr Terry Dean Boatman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003952185 | NPI | - | NPPES |
| 81648U | Other | TX | BLUE CROSS BLUE SHEILD |
| 143828501 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 657228 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Shannon Clinic | 0840103727 | 411 |
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 Terry Dean Boatman allows following entities to bill medicare on his behalf.
| Entity Name | Utmb Faculty Group Practice |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942241146
PECOS PAC ID: 3375456734
Enrollment ID: O20031112000438 |
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| Entity Name | Shannon Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770587149
PECOS PAC ID: 0840103727
Enrollment ID: O20031222000702 |
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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 Terry Dean Boatman 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 Terry Dean Boatman, CRNA
Po Box 1049,
Atlanta, TX 75551-1049
Ph: (903) 799-3000 | Mr Terry Dean Boatman, CRNA
1007 S William St,
Atlanta, TX 75551-3245
Ph: (903) 799-3000 |
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