Xavier Michael Tolliver, CRNA in Statesboro, GA - Medicare Certified Registered Nurse Anesthetist (crna)

Xavier Michael Tolliver, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Statesboro, Georgia. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Wellstar Medical Group, Llc and his current practice location is 1704 Berkshire Ln, Statesboro, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 678-0741.

Xavier Michael Tolliver is licensed to practice in Texas (license number 940902) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1881194116.

Contact Information

	Xavier Michael Tolliver, CRNA
	1704 Berkshire Ln, Statesboro, GA 30461-0587
	(912) 678-0741
	Not Available

Map and Direction

Provider's Profile

Full Name	Xavier Michael Tolliver
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	7 Years
Location	1704 Berkshire Ln, Statesboro, Georgia
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Xavier Michael Tolliver graduated from nursing school in 2017

NPI Data:

NPI Number: 1881194116
Provider Enumeration Date: 02/13/2018
Last Update Date: 07/12/2023

Medicare PECOS Information:

PECOS PAC ID: 4981953965
Enrollment ID: I20191029003532

Medical Identifiers

Medical identifiers for Xavier Michael Tolliver such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881194116	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN239372 (Georgia)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	RN239372 (Georgia)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	940902 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wellstar Kennestone Hospital	Marietta, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wellstar Medical Group, Llc	6709065402	1917

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. Xavier Michael Tolliver allows following entities to bill medicare on his behalf.

Entity Name	American Anesthesiology Associates Of Georgia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528068673 PECOS PAC ID: 7618934779 Enrollment ID: O20041210000442

Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

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. Xavier Michael Tolliver 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
Xavier Michael Tolliver, CRNA 1704 Berkshire Ln, Statesboro, GA 30461-0587 Ph: (912) 678-0741	Xavier Michael Tolliver, CRNA 1704 Berkshire Ln, Statesboro, GA 30461-0587 Ph: (912) 678-0741

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Statesboro, GA

Catherine A Landry-arseneault, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1499 Fair Rd, Statesboro, GA 30458 Phone: 912-486-1973
Tagel Elizabeth Wilson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1499 Fair Rd, Statesboro, GA 30458 Phone: 912-486-1000
Mr. Robert D Counts, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1499 Fair Rd, Statesboro, GA 30459 Phone: 912-486-1000 Fax: 912-871-2392
Trevor Weathersby, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1499 Fair Rd, Statesboro, GA 30458 Phone: 912-486-1000
David Derosso, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1499 Fair Rd, Statesboro, GA 30458 Phone: 704-662-5544
Mr. James Robert Stockton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1499 Fair Rd, Statesboro, GA 30458 Phone: 912-681-1150
Mark A Leszczynski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1601 Fair Rd, Statesboro, GA 30458 Phone: 877-727-1960 Fax: 706-854-8454

Xavier Michael Tolliver, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Statesboro, GA