Clifford Jonathan Payne, DNP, CRNA in Tacoma, WA - Medicare Nurse Anesthetist, Certified Registered

Clifford Jonathan Payne, DNP, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tacoma, Washington. His current practice location is 9040a Jackson Ave, Tacoma, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 968-1110.

Clifford Jonathan Payne is licensed to practice in Washington (license number AP61327842) 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 1881321339.

Contact Information

	Clifford Jonathan Payne, DNP, CRNA
	9040a Jackson Ave, Tacoma, WA 98431-0001
	(253) 968-1110
	Not Available

Map and Direction

Provider's Profile

Full Name	Clifford Jonathan Payne
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	9040a Jackson Ave, Tacoma, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881321339
Provider Enumeration Date: 08/04/2022
Last Update Date: 08/31/2023

Medicare PECOS Information:

PECOS PAC ID: 2769855675
Enrollment ID: I20230223001938

Medical Identifiers

Medical identifiers for Clifford Jonathan Payne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881321339	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	AP61327842 (Washington)	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. Clifford Jonathan Payne allows following entities to bill medicare on his behalf.

Entity Name	Olympia Multi Specialty Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356386783 PECOS PAC ID: 4789571092 Enrollment ID: O20040302000502

Entity Name	Capital Medical Center Specialty Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760785281 PECOS PAC ID: 2567651771 Enrollment ID: O20110104000592

Entity Name	Gastroenterology Associates Clinical Practice Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811556442 PECOS PAC ID: 2062770605 Enrollment ID: O20191025001578

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. Clifford Jonathan Payne 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
Clifford Jonathan Payne, DNP, CRNA 8409 54th Ave Se, Olympia, WA 98513-4618 Ph: (805) 444-0321	Clifford Jonathan Payne, DNP, CRNA 9040a Jackson Ave, Tacoma, WA 98431-0001 Ph: (253) 968-1110

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Tacoma, WA

Janet Jones Sims, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Madigan Army Medical Ctr 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2252
Michael John Means, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2235
Matthew Libid, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 203-768-5053
Mrs. Elizabeth Katherine Mary Pulatie, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9040 A Reid St, Tacoma, WA 98431 Phone: 253-968-1110
Ms. Lisa Ann Petty, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2252 Fax: 253-968-3278
Mr. Andrey Bobrovnikov, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1717 S J St, Tacoma, WA 98405 Phone: 253-426-6341 Fax: 253-426-6344
Craig Andrew Swank, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3209 S 23rd St, Suite 340, Tacoma, WA 98405 Phone: 253-503-2598 Fax: 253-404-0506

Clifford Jonathan Payne, DNP, CRNA - Medicare Nurse Anesthetist, Certified Registered in Tacoma, WA