Roshen Thomas Edathil, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Winston Salem, NC

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Roshen Thomas Edathil, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Winston Salem, North Carolina. He graduated from nursing school in 2014 and has 11 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Wake Forest University Health Sciences and his current practice location is 145 Kimel Park Dr, Suite 120, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 768-3212.

Roshen Thomas Edathil is licensed to practice in North Carolina (license number 232623) 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 1114327467.

Contact Information

Roshen Thomas Edathil, CRNA
145 Kimel Park Dr, Suite 120,
Winston Salem, NC 27103-6984
(336) 768-3212
(336) 768-9019

Map and Direction




Provider's Profile

Full NameRoshen Thomas Edathil
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience11 Years
Location145 Kimel Park Dr, Winston Salem, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Roshen Thomas Edathil graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1114327467
  • Provider Enumeration Date: 08/23/2014
  • Last Update Date: 08/23/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 9234350018
  • Enrollment ID: I20141020001743

Medical Identifiers

Medical identifiers for Roshen Thomas Edathil such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114327467NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 232623 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
North Carolina Baptist HospitalWinston-salem, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wake Forest University Health Sciences44865649522048

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. Roshen Thomas Edathil allows following entities to bill medicare on his behalf.
Entity NameWake Forest University Health Sciences
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003803032
PECOS PAC ID: 4486564952
Enrollment ID: O20031105000436
Entity NameEagle Physicians And Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457436982
PECOS PAC ID: 0244134468
Enrollment ID: O20031120000436
Entity NameNovant Health Rowan Medical Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508931544
PECOS PAC ID: 3375452519
Enrollment ID: O20040422001655
Entity NamePiedmont Triad Anesthesia Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467497081
PECOS PAC ID: 8426020025
Enrollment ID: O20040824000312
Entity NameAnesthesia Care Services Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609833474
PECOS PAC ID: 7012937105
Enrollment ID: O20090813000373
Entity NameLifebrite Hospital Group Of Stokes Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104369081
PECOS PAC ID: 8921380759
Enrollment ID: O20170220001211
Entity NameTwin City Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124582648
PECOS PAC ID: 8022357938
Enrollment ID: O20190311001476

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. Roshen Thomas Edathil 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 AddressPractice Location Address
Roshen Thomas Edathil, CRNA
145 Kimel Park Dr, Suite 120,
Winston Salem, NC 27103-6984

Ph: (336) 768-3212		Roshen Thomas Edathil, CRNA
145 Kimel Park Dr, Suite 120,
Winston Salem, NC 27103-6984

Ph: (336) 768-3212

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Winston Salem, NC

Nicholas Ryan Tuttle, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: Medical Center Blvd, Winston Salem, NC 27157
Phone: 336-409-1797    
Yetta Hardy Clark, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 145 Kimel Park Dr, Suite 300, Winston Salem, NC 27103
Phone: 336-768-3212    Fax: 336-768-9019
Carie Sue Nunley, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103
Phone: 336-768-3212    Fax: 336-768-9019
Connie Sue Freeman, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 145 Kimel Park Dr Ste 120, Winston Salem, NC 27103
Phone: 336-768-3212    Fax: 336-768-9019
Charlie Martin Robertson Iii, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: Medical Center Blvd, Winston Salem, NC 27157
Phone: 336-716-2011    
Holly C Pegram, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103
Phone: 336-768-3212    Fax: 336-768-9019
Jessica Savidge Rose, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 145 Kimel Park Dr Ste 120, Winston Salem, NC 27103
Phone: 336-768-3212    Fax: 336-768-9019

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.