Timothy Roose, CRNA in Vidalia, GA - Medicare Nurse Anesthetist, Certified Registered

Timothy Roose, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Vidalia, Georgia. His current practice location is One Meadows Pkwy, Vidalia, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 538-5359.

Timothy Roose is licensed to practice in Georgia (license number R082998) 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 1881689917.

Contact Information

	Timothy Roose, CRNA
	One Meadows Pkwy, Vidalia, GA 30474-8759
	(912) 538-5359
	(912) 538-5228

Map and Direction

Provider's Profile

Full Name	Timothy Roose
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	One Meadows Pkwy, Vidalia, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881689917
Provider Enumeration Date: 09/14/2005
Last Update Date: 10/09/2015

Medicare PECOS Information:

PECOS PAC ID: 1355466582
Enrollment ID: I20100913000137

Medical Identifiers

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

Identifier	Type	State	Issuer
1881689917	NPI	-	NPPES
000550151B	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	R082998 (Georgia)	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. Timothy Roose allows following entities to bill medicare on his behalf.

Entity Name	Se Georgia Anesthesia, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518542919 PECOS PAC ID: 8426466137 Enrollment ID: O20210419001856

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 Roose 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 Roose, CRNA Po Box 1303, Vidalia, GA 30475-1303 Ph: (912) 538-5359	Timothy Roose, CRNA One Meadows Pkwy, Vidalia, GA 30474-8759 Ph: (912) 538-5359

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Vidalia, GA

Shannon Lacey Staten, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-538-5537
Brandon Reeves Blount, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 535-912-5894
Daniel Tyler Harris, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-538-5537 Fax: 912-538-5228
Damon Keith Jessup, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-538-5537 Fax: 912-538-5228
Ann Marie Chalker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-538-5359 Fax: 912-538-5228

Timothy Roose, CRNA - Medicare Nurse Anesthetist, Certified Registered in Vidalia, GA