Mr William C Whitacre, CRNA in Portland, OR - Medicare Certified Registered Nurse Anesthetist (crna)

Mr William C Whitacre, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Portland, Oregon. He graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Clinical Colleagues Inc, Adams County Memorial Hospital, Aas Indiana Llc and his current practice location is 6400 Se Lake Rd Ste 130, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 594-1774.

Mr William C Whitacre is licensed to practice in Oregon (license number 201260035CRNA) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1588635635.

Contact Information

	Mr William C Whitacre, CRNA
	6400 Se Lake Rd Ste 130, Portland, OR 97222-2129
	(503) 594-1774
	(503) 594-1775

Map and Direction

Provider's Profile

Full Name	Mr William C Whitacre
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	11 Years
Location	6400 Se Lake Rd Ste 130, Portland, Oregon
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr William C Whitacre graduated from nursing school in 2013

NPI Data:

NPI Number: 1588635635
Provider Enumeration Date: 01/27/2006
Last Update Date: 09/21/2012

Medicare PECOS Information:

PECOS PAC ID: 0143312512
Enrollment ID: I20200622001956

Medical Identifiers

Medical identifiers for Mr William C Whitacre such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588635635	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	201260035CRNA (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Adams Memorial Hospital	Decatur, IN	Hospital
Van Wert County Hospital	Van wert, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Clinical Colleagues Inc	8729011333	106
Adams County Memorial Hospital	0941198253	67
Aas Indiana Llc	4688045115	54

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 William C Whitacre allows following entities to bill medicare on his behalf.

Entity Name	Clinical Colleagues Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992725766 PECOS PAC ID: 8729011333 Enrollment ID: O20070517000377

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 William C Whitacre 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 William C Whitacre, CRNA Cmr 402 Box 1852, Apo, AE 09180-0019 Ph: (011) 491-728253813	Mr William C Whitacre, CRNA 6400 Se Lake Rd Ste 130, Portland, OR 97222-2129 Ph: (503) 594-1774

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Portland, OR

Mr. Daniel Paul Addy, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-1234
Ms. Bonnie Helen O'hara, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Providence St. Vincent Medical Center, 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-3321
Amber Fromwiller, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8311
Ms. Gwendolyn M Keyt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Mailcode Uhs-2, Portland, OR 97239 Phone: 503-494-7641 Fax: 503-418-0884
Daniel Hainley, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7641 Fax: 503-494-4661
Dr. Dallas D. Regan, CRNA, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7641
Stephen John Yermal, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1111 Ne 99th Ave, Suite 302, Portland, OR 97220 Phone: 503-963-2763

Mr William C Whitacre, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Portland, OR