Mrs Theresa Marie Gloster, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in North Port, Florida. Her current practice location is
3130 Atwater Dr, North Port, Florida. You can reach out to her office (for appointments etc.) via phone at
(814) 421-8945.
Mrs Theresa Marie Gloster is licensed to practice in Pennsylvania (license number RN573951) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1467783886.
Provider's Profile
Full Name | Mrs Theresa Marie Gloster |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 3130 Atwater Dr, North Port, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1467783886
- Provider Enumeration Date: 01/25/2010
- Last Update Date: 06/03/2013
Medicare PECOS Information:
- PECOS PAC ID: 9638209471
- Enrollment ID: I20100604000912
Medical Identifiers
Medical identifiers for Mrs Theresa Marie Gloster such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467783886 | NPI | - | NPPES |
G00AR | Other | FL | BLUE CROSS |
004476600 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | RN573951 (Pennsylvania) | Primary |
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. Mrs Theresa Marie Gloster allows following entities to bill medicare on her behalf.
Entity Name | Gulf-to-bay Anesthesiology Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720039746 PECOS PAC ID: 5092628156 Enrollment ID: O20031106000250 |
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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. Mrs Theresa Marie Gloster 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 |
Mrs Theresa Marie Gloster, CRNA 3130 Atwater Dr, North Port, FL 34288-8302 Ph: (814) 421-8945 | Mrs Theresa Marie Gloster, CRNA 3130 Atwater Dr, North Port, FL 34288-8302 Ph: (814) 421-8945 |
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