Ms Jennifer Faircloth, CRNA in Wilmington, NC - Medicare Certified Registered Nurse Anesthetist (crna)

Ms Jennifer Faircloth, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Wilmington, North Carolina. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Antigua Anesthesia Management, Llc, Providence Health And Service- Washington and her current practice location is 2511 Delaney Ave, Wilmington, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 667-9328.

Ms Jennifer Faircloth is licensed to practice in North Carolina (license number 159820) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1710210273.

Contact Information

	Ms Jennifer Faircloth, CRNA
	2511 Delaney Ave, Wilmington, NC 28403-6003
	(910) 667-9328
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Jennifer Faircloth
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	15 Years
Location	2511 Delaney Ave, Wilmington, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Jennifer Faircloth graduated from nursing school in 2009

NPI Data:

NPI Number: 1710210273
Provider Enumeration Date: 09/15/2009
Last Update Date: 04/12/2024

Medicare PECOS Information:

PECOS PAC ID: 1153468186
Enrollment ID: I20231018001766

Medical Identifiers

Medical identifiers for Ms Jennifer Faircloth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710210273	NPI	-	NPPES
PENDING	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	159820 (North Carolina)	Primary
367500000X	Nurse Anesthetist, Certified Registered	AP61525326 (Washington)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Western Arizona Regional Medical Center	Bullhead city, AZ	Hospital
Kingman Regional Medical Center	Kingman, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Antigua Anesthesia Management, Llc	3870908676	12
Providence Health And Service- Washington	0840279758	156

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. Ms Jennifer Faircloth allows following entities to bill medicare on her behalf.

Entity Name	Antigua Anesthesia Management, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912502055 PECOS PAC ID: 3870908676 Enrollment ID: O20210208002425

Entity Name	Anesthesia Services Of Arizona Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336857085 PECOS PAC ID: 6608247374 Enrollment ID: O20230118000286

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. Ms Jennifer Faircloth 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
Ms Jennifer Faircloth, CRNA Po Box 40908, Fayetteville, NC 28309-0908 Ph: (910) 615-6448	Ms Jennifer Faircloth, CRNA 2511 Delaney Ave, Wilmington, NC 28403-6003 Ph: (910) 667-9328

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Wilmington, NC

Sara Catherine Lane, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-343-7000
Cynthia Merrell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2131 South 17th Street, Wilmington, NC 28401 Phone: 910-343-7000
Ms. Christin Lipscomb Walsh, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-772-9202 Fax: 910-772-9452
Thomas E Smith, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1801 S 17th St, Wilmington, NC 28401 Phone: 910-798-8922 Fax: 910-798-8923
Patrick Dennis Colbert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-343-7000
Gary N Combs, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5301 Wrightsville Ave, Wilmington, NC 28403 Phone: 910-452-8100
Jamie M Combs, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-452-8100

Ms Jennifer Faircloth, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Wilmington, NC