Timothy Richard Entzeroth, CRNA in Yakima, WA - Medicare Certified Registered Nurse Anesthetist (crna)

Timothy Richard Entzeroth, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Yakima, Washington. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Midwest Anesthesia Providers Sc and his current practice location is 2811 Tieton Dr, Yakima, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 575-8000.

Timothy Richard Entzeroth is licensed to practice in Missouri (license number 133972) 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 1356912257.

Contact Information

	Timothy Richard Entzeroth, CRNA
	2811 Tieton Dr, Yakima, WA 98902-3761
	(509) 575-8000
	Not Available

Map and Direction

Provider's Profile

Full Name	Timothy Richard Entzeroth
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	3 Years
Location	2811 Tieton Dr, Yakima, Washington
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:

Timothy Richard Entzeroth graduated from nursing school in 2021

NPI Data:

NPI Number: 1356912257
Provider Enumeration Date: 07/02/2021
Last Update Date: 07/02/2021

Medicare PECOS Information:

PECOS PAC ID: 2466856380
Enrollment ID: I20230721001783

Medical Identifiers

Medical identifiers for Timothy Richard Entzeroth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356912257	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	133972 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Alton Memorial Hospital	Alton, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Midwest Anesthesia Providers Sc	9830480581	143

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. Timothy Richard Entzeroth allows following entities to bill medicare on his behalf.

Entity Name	Midwest Anesthesia Providers Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295189082 PECOS PAC ID: 9830480581 Enrollment ID: O20160628000182

Entity Name	Midwest Anesthesia Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558719617 PECOS PAC ID: 8921387390 Enrollment ID: O20161221000252

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. Timothy Richard Entzeroth 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
Timothy Richard Entzeroth, CRNA 7404 Saddlebrook Loop, Yakima, WA 98908-5909 Ph: (636) 288-6279	Timothy Richard Entzeroth, CRNA 2811 Tieton Dr, Yakima, WA 98902-3761 Ph: (509) 575-8000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Yakima, WA

Paul E Novak, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 406 S 30th Ave, Ste 202, Yakima, WA 98902 Phone: 509-972-1051 Fax: 509-972-4166
Stephanie L Lounsbury-griffin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 406 S 30th Ave, Suite 202, Yakima, WA 98902 Phone: 509-972-1051 Fax: 509-972-4166
Kevin A Leach, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 406s 30th Ave 202, Yakima, WA 98902 Phone: 509-972-1051 Fax: 509-972-4166
Kaitlyn Elizabeth Knoebel, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2811 Tieton Dr, Yakima, WA 98902 Phone: 509-575-8000
Blake T Peterson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 406 S 30th Ave, Suite 202, Yakima, WA 98902 Phone: 509-972-1051 Fax: 509-972-4166
James E Gelatt, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 406 S 30th Ave, Ste 202, Yakima, WA 98902 Phone: 509-972-1051 Fax: 509-972-4166
Hollie I Crawford, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 110 S 9th Ave, Yakima, WA 98902 Phone: 509-574-4455 Fax: 509-574-4481

Timothy Richard Entzeroth, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Yakima, WA