Robert Ryan Pettit, CRNA in Tyler, TX - Medicare Certified Registered Nurse Anesthetist (crna)

Robert Ryan Pettit, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tyler, Texas. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Northstar Anesthesia Iii Pa, Mch Professional Care Hospital Based, Mother Frances Hospital Jacksonville and his current practice location is 800 E Dawson St, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 531-4522.

Robert Ryan Pettit is licensed to practice in Texas (license number AP129992) 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 1386001634.

Contact Information

	Robert Ryan Pettit, CRNA
	800 E Dawson St, Tyler, TX 75701-2036
	(903) 531-4522
	Not Available

Map and Direction

Provider's Profile

Full Name	Robert Ryan Pettit
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	9 Years
Location	800 E Dawson St, Tyler, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Robert Ryan Pettit graduated from nursing school in 2015

NPI Data:

NPI Number: 1386001634
Provider Enumeration Date: 01/18/2016
Last Update Date: 08/24/2023

Medicare PECOS Information:

PECOS PAC ID: 2163728304
Enrollment ID: I20160314001946

Medical Identifiers

Medical identifiers for Robert Ryan Pettit such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386001634	NPI	-	NPPES
354942004	Medicaid	TX
P01769553	Other	TX	RAIL ROAD MEDICARE
75-0818167-015	Other	TX	TRICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	AP129992 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ut Health East Texas Tyler Regional Hospital	Tyler, TX	Hospital
Medical Center Hospital	Odessa, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northstar Anesthesia Iii Pa	0042630501	338
Mch Professional Care Hospital Based	1557535127	58
Mother Frances Hospital Jacksonville	5597751024	30

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. Robert Ryan Pettit allows following entities to bill medicare on his behalf.

Entity Name	U S Anesthesia Partners Of Texas, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548208564 PECOS PAC ID: 7315850351 Enrollment ID: O20031106000563

Entity Name	Mother Frances Hospital Jacksonville
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952306672 PECOS PAC ID: 5597751024 Enrollment ID: O20040421001092

Entity Name	Mother Frances Hospital Regional Health Care Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679578439 PECOS PAC ID: 9234025636 Enrollment ID: O20040610001042

Entity Name	Mch Professional Care Hospital Based
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447547773 PECOS PAC ID: 1557535127 Enrollment ID: O20111116000437

Entity Name	Northstar Anesthesia Iii Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356968952 PECOS PAC ID: 0042630501 Enrollment ID: O20201022000080

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. Robert Ryan Pettit 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
Robert Ryan Pettit, CRNA Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 606-6400	Robert Ryan Pettit, CRNA 800 E Dawson St, Tyler, TX 75701-2036 Ph: (903) 531-4522

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Tyler, TX

Mrs. Glenda R Sealey, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1424 East Front, Tyler, TX 75702 Phone: 903-595-4144 Fax: 903-596-7541
John Glynn Jeansonne, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 S Beckham Ave, Tyler, TX 75701 Phone: 903-526-1068 Fax: 903-593-4290
Jeffrey Manglicmot, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-531-4522
Harold Richie Bandalan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 S Beckham Ave, Tyler, TX 75701 Phone: 903-526-1068 Fax: 903-593-4290
Jeffrey David Barker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 S Beckham Ave, Tyler, TX 75701 Phone: 903-597-0351
Gregory Mallett, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-606-4522
Cara L Dewolfe, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-593-8441

Robert Ryan Pettit, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Tyler, TX