Roy L Sturdivant, CRNA in Texarkana, TX - Medicare Nurse Anesthetist, Certified Registered

Roy L Sturdivant, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Texarkana, Texas. His current practice location is 4500 Summerhill Rd, Texarkana, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 792-8888.

Roy L Sturdivant is licensed to practice in Texas (license number 244867) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1316945199.

Contact Information

	Roy L Sturdivant, CRNA
	4500 Summerhill Rd, Texarkana, TX 75503-2740
	(903) 792-8888
	(903) 792-8984

Map and Direction

Provider's Profile

Full Name	Roy L Sturdivant
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	4500 Summerhill Rd, Texarkana, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316945199
Provider Enumeration Date: 07/14/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0648169284
Enrollment ID: I20040312000285

Medical Identifiers

Medical identifiers for Roy L Sturdivant such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316945199	NPI	-	NPPES
97082	Other	AR	BLUE CROSS
84294C	Other	TX	BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	244867 (Texas)	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. Roy L Sturdivant allows following entities to bill medicare on his behalf.

Entity Name	Collom & Carney Clinic Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114909934 PECOS PAC ID: 1355249541 Enrollment ID: O20031226000046

Entity Name	Texarkana Gastroenterology Consultants
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477519056 PECOS PAC ID: 0345212817 Enrollment ID: O20040806000580

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. Roy L Sturdivant 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
Roy L Sturdivant, CRNA 4500 Summerhill Rd, Texarkana, TX 75503-2740 Ph: (903) 792-8888	Roy L Sturdivant, CRNA 4500 Summerhill Rd, Texarkana, TX 75503-2740 Ph: (903) 792-8888

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Texarkana, TX

Mr. Brandon Wiley, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Summerhill Rd, Texarkana, TX 75503 Phone: 903-735-9802 Fax: 903-735-9806
Richard Loeffler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Pine St, Texarkana, TX 75501 Phone: 903-427-3851
Caleb Allen Bennett, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2600 Saint Michael Dr, Texarkana, TX 75503 Phone: 469-955-9423
Brent Willis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 203 La Grange Dr., Texarkana, TX 75501 Phone: 936-645-5428
Charles David Lummus, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Summerhill Rd, Texarkana, TX 75503 Phone: 903-735-9802 Fax: 903-735-9806
John Matt Hester, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Summerhill Rd, Texarkana, TX 75503 Phone: 903-735-9802 Fax: 903-735-9806
Paul Mitchell James, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Summerhill Rd, Texarkana, TX 75503 Phone: 903-735-9802 Fax: 903-735-9806

Roy L Sturdivant, CRNA - Medicare Nurse Anesthetist, Certified Registered in Texarkana, TX