Tammy M Jividen, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Winston Salem, NC

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Tammy M Jividen, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Winston Salem, North Carolina. She graduated from nursing school in 2008 and has 17 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Wake Forest University Health Sciences and her current practice location is Medical Center Blvd, Winston Salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 716-2255.

Tammy M Jividen is licensed to practice in North Carolina (license number 1232) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1922251628.

Contact Information

Tammy M Jividen, CRNA
Medical Center Blvd,
Winston Salem, NC 27157-5201
(336) 716-2255
(336) 716-3202

Map and Direction




Provider's Profile

Full NameTammy M Jividen
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience17 Years
LocationMedical Center Blvd, Winston Salem, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tammy M Jividen graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1922251628
  • Provider Enumeration Date: 10/28/2008
  • Last Update Date: 10/27/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3577624998
  • Enrollment ID: I20090724000650

Medical Identifiers

Medical identifiers for Tammy M Jividen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922251628NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 0024168039 (Virginia)Secondary
367500000XNurse Anesthetist, Certified Registered 1232 (North Carolina)Primary

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. Tammy M Jividen allows following entities to bill medicare on her 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 NameCarolina Anesthesiology Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629032347
PECOS PAC ID: 7214841410
Enrollment ID: O20031112000766
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 NamePiedmont Triad Anesthesia Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467497081
PECOS PAC ID: 8426020025
Enrollment ID: O20040824000312
Entity NameSalem Professional Anesthesia Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538171897
PECOS PAC ID: 9133180326
Enrollment ID: O20041108000480
Entity NameProvidence Anesthesiology Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396739884
PECOS PAC ID: 3971566761
Enrollment ID: O20041111000930
Entity NameAnesthesia Care Services Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609833474
PECOS PAC ID: 7012937105
Enrollment ID: O20090813000373
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. Tammy M Jividen 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
Tammy M Jividen, CRNA
117 E Kings Highway,
Eden, NC 27288-5201

Ph: (336) 623-9711		Tammy M Jividen, CRNA
Medical Center Blvd,
Winston Salem, NC 27157-5201

Ph: (336) 716-2255

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.