Ricky Paul Gault, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Amory, Mississippi. He graduated from nursing school in 1992 and has 32 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Monroe Health Services Inc and his current practice location is
1105 Earl Frye Blvd, Amory, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 256-7111.
Ricky Paul Gault is licensed to practice in Mississippi (license number R619078) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164441788.
Provider's Profile
| Full Name | Ricky Paul Gault |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 32 Years |
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| Location | 1105 Earl Frye Blvd, Amory, Mississippi |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ricky Paul Gault graduated from nursing school in 1992
NPI Data:
- NPI Number: 1164441788
- Provider Enumeration Date: 07/18/2006
- Last Update Date: 04/30/2014
Medicare PECOS Information:
- PECOS PAC ID: 2668420944
- Enrollment ID: I20050104000771
Medical Identifiers
Medical identifiers for Ricky Paul Gault such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164441788 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | R619078 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Monroe Health Services Inc | 8224376561 | 15 |
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. Ricky Paul Gault allows following entities to bill medicare on his behalf.
| Entity Name | Willow Anesthesia Services, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205169521
PECOS PAC ID: 9234279183
Enrollment ID: O20091228000308 |
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| Entity Name | Monroe Health Services Inc |
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| Entity Type | Part B Supplier - Hospital Department(s) |
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| Entity Identifiers | NPI Number: 1619559309
PECOS PAC ID: 8224376561
Enrollment ID: O20210602001080 |
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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. Ricky Paul Gault 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 |
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Ricky Paul Gault, CRNA
123 Main St N,
Amory, MS 38821-3416
Ph: (662) 256-7112 | Ricky Paul Gault, CRNA
1105 Earl Frye Blvd,
Amory, MS 38821-5500
Ph: (662) 256-7111 |
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