Jared Y Robertson Iii, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Bay St Louis, Mississippi. His current practice location is
149 Drinkwater Rd, Bay St Louis, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(228) 467-8600.
Jared Y Robertson Iii is licensed to practice in Mississippi (license number 901491) 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 1265428734.
Provider's Profile
| Full Name | Jared Y Robertson Iii |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 149 Drinkwater Rd, Bay St Louis, Mississippi |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1265428734
- Provider Enumeration Date: 09/21/2005
- Last Update Date: 11/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 2860467354
- Enrollment ID: I20070801000528
Medical Identifiers
Medical identifiers for Jared Y Robertson Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265428734 | NPI | - | NPPES |
| 010103894 | Medicaid | VA | |
| 4081487 | Other | | BLUE SHIELD OF TN |
| 74008541 | Medicaid | KY | |
| TN0100 | Other | | JOHN DEERE |
| 100045319 | Medicaid | TN | |
| 3632282 | Medicaid | TN | |
| 00013859 | Other | | NHC CARE ADMINISTRATORS |
| 146158 | Other | | ANTHEM BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 10597 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 5201 (Louisiana) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 4858A (Kentucky) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 24167318 (Virginia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 3625 (South Carolina) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 71550 (North Carolina) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 144482 (Texas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 901491 (Mississippi) | 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. Jared Y Robertson Iii allows following entities to bill medicare on his behalf.
| Entity Name | Ochsner Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538151428
PECOS PAC ID: 8224933619
Enrollment ID: O20031126000513 |
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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. Jared Y Robertson Iii 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 |
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Jared Y Robertson Iii, CRNA
1514 Jefferson Hwy,
New Orleans, LA 70121-2429
Ph: (504) 842-4000 | Jared Y Robertson Iii, CRNA
149 Drinkwater Rd,
Bay St Louis, MS 39520-1658
Ph: (228) 467-8600 |
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