Thomas Glenn Sponenberg, CRNA - Medicare Nurse Anesthetist, Certified Registered in Syracuse, NY

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Thomas Glenn Sponenberg, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Syracuse, New York. His current practice location is 736 Irving Ave, Syracuse, New York. You can reach out to his office (for appointments etc.) via phone at (352) 317-3392.

Thomas Glenn Sponenberg is licensed to practice in New York (license number 278947) 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 1770572596.

Contact Information

Thomas Glenn Sponenberg, CRNA
736 Irving Ave,
Syracuse, NY 13210-1687
(352) 317-3392
Not Available

Map and Direction




Provider's Profile

Full NameThomas Glenn Sponenberg
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location736 Irving Ave, Syracuse, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770572596
  • Provider Enumeration Date: 10/14/2005
  • Last Update Date: 09/28/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9436050994
  • Enrollment ID: I20040419001682

Medical Identifiers

Medical identifiers for Thomas Glenn Sponenberg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770572596NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered AP105576 (Texas)Secondary
367500000XNurse Anesthetist, Certified Registered ARNP2647522 (Florida)Secondary
367500000XNurse Anesthetist, Certified Registered 278947 (New York)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. Thomas Glenn Sponenberg allows following entities to bill medicare on his behalf.
Entity NameCentral Brevard Anesthesiologists Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205875671
PECOS PAC ID: 3577477314
Enrollment ID: O20031118000796
Entity NameAnesthesia Consultants Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346240066
PECOS PAC ID: 4486547049
Enrollment ID: O20040206000114

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. Thomas Glenn Sponenberg 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
Thomas Glenn Sponenberg, CRNA
3620 Pelham Rd Ste 5,
Greenville, SC 29615-5044

Ph: (352) 317-3392		Thomas Glenn Sponenberg, CRNA
736 Irving Ave,
Syracuse, NY 13210-1687

Ph: (352) 317-3392

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Syracuse, NY

Robert A Worden, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4900 Broad Rd, Syracuse, NY 13215
Phone: 315-492-5522    
Kristen Ryder, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 736 Irving Ave, Syracuse, NY 13210
Phone: 315-470-8705    
Marc Therrien,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 102 Russet Ln, Syracuse, NY 13209
Phone: 315-263-0526    
Michael Joseph Hoskin, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 301 Prospect Ave, Syracuse, NY 13203
Phone: 315-299-5451    Fax: 315-299-4710
John F Murphy, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4900 Broad Rd, Syracuse, NY 13215
Phone: 315-470-7828    Fax: 315-470-5811
Ms. Sigrid A. Marfo, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4900 Broad Rd, Syracuse, NY 13215
Phone: 315-492-5522    
James Roth, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 736 Irving Ave, Syracuse, NY 13210
Phone: 315-470-7828    Fax: 315-470-5811

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.