Prof Jacqueline Gordon Fox, CRNA in Wheeling, WV - Medicare Nurse Anesthetist, Certified Registered

Prof Jacqueline Gordon Fox, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Wheeling, West Virginia. Her current practice location is 1 Medical Park, Wheeling, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 243-3343.

Prof Jacqueline Gordon Fox is licensed to practice in West Virginia (license number 36659) 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 1770556896.

Contact Information

	Prof Jacqueline Gordon Fox, CRNA
	1 Medical Park, Wheeling, WV 26003-6379
	(304) 243-3343
	(304) 243-6480

Map and Direction

Provider's Profile

Full Name	Prof Jacqueline Gordon Fox
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	1 Medical Park, Wheeling, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770556896
Provider Enumeration Date: 02/09/2006
Last Update Date: 02/20/2015

Medicare PECOS Information:

PECOS PAC ID: 5193625085
Enrollment ID: I20040108000977

Medical Identifiers

Medical identifiers for Prof Jacqueline Gordon Fox such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770556896	NPI	-	NPPES
0066453000	Medicaid	WV
101239273	Medicaid	PA
0943724	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	SP004405B (Pennsylvania)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	36659 (West Virginia)	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. Prof Jacqueline Gordon Fox allows following entities to bill medicare on her behalf.

Entity Name	Keystone Anesthesia Consultants, Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861450751 PECOS PAC ID: 2769378751 Enrollment ID: O20040226000073

Entity Name	Lehigh Valley Eye Center, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356330369 PECOS PAC ID: 3072593508 Enrollment ID: O20040723000789

Entity Name	Associates Anesthesia Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033542584 PECOS PAC ID: 8921235607 Enrollment ID: O20131231000092

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. Prof Jacqueline Gordon Fox 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
Prof Jacqueline Gordon Fox, CRNA 109 Mount Wood Rd, Wheeling, WV 26003-2632 Ph: (304) 233-2455	Prof Jacqueline Gordon Fox, CRNA 1 Medical Park, Wheeling, WV 26003-6379 Ph: (304) 243-3343

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Wheeling, WV

Madeline F Shipe, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Park, Wheeling, WV 26003 Phone: 304-243-3343
Louis James Vargo, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Park, Wheeling, WV 26003 Phone: 304-243-3343
Richard Joseph Burtnett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park, Wheeling, WV 26003 Phone: 304-243-3060
Nicolette Harbison, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park, Wheeling, WV 26003 Phone: 304-233-2455 Fax: 304-233-6073
Douglas M Pell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park, Wheeling, WV 26003 Phone: 304-243-3343
Floyd J Swiger, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Park, Wheeling, WV 26003 Phone: 304-243-3343
Mary D Uraco, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Park, Wheeling, WV 26003 Phone: 304-243-3343

Prof Jacqueline Gordon Fox, CRNA - Medicare Nurse Anesthetist, Certified Registered in Wheeling, WV