Ms Terese Mary Warner, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Saint Johns, Florida. Her current practice location is
1590 Century Acres Lane, Saint Johns, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 710-6811.
Ms Terese Mary Warner is licensed to practice in Florida (license number 9262060) 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 1700862844.
Provider's Profile
Full Name | Ms Terese Mary Warner |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 1590 Century Acres Lane, Saint Johns, 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: 1700862844
- Provider Enumeration Date: 12/20/2005
- Last Update Date: 11/18/2013
Medicare PECOS Information:
- PECOS PAC ID: 2567526403
- Enrollment ID: I20090121000641
Medical Identifiers
Medical identifiers for Ms Terese Mary Warner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700862844 | NPI | - | NPPES |
003138340B | Medicaid | GA | |
009897800 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 543487 (Texas) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 9262060 (Florida) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | 123895 (Wisconsin) | Secondary |
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 Terese Mary Warner allows following entities to bill medicare on her behalf.
Entity Name | University Of Florida Jacksonville Physicians, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1144276452 PECOS PAC ID: 9133025869 Enrollment ID: O20040128000786 |
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Entity Name | Jax Anesthesia Providers Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245271154 PECOS PAC ID: 5698783702 Enrollment ID: O20060331000288 |
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Entity Name | Fleming Island Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487945895 PECOS PAC ID: 6002084860 Enrollment ID: O20110721000345 |
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Entity Name | Amelia Anesthesia Pl |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1508103540 PECOS PAC ID: 9436394673 Enrollment ID: O20130318000401 |
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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. Ms Terese Mary Warner 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 Terese Mary Warner, CRNA 1590 Century Acres Lane, Saint Johns, FL 32259 Ph: (904) 710-6811 | Ms Terese Mary Warner, CRNA 1590 Century Acres Lane, Saint Johns, FL 32259 Ph: (904) 710-6811 |
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