Jeremy Keith Crouch, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Fort Moore, GA

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Jeremy Keith Crouch, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Moore, Georgia. He graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Sentry Anesthesia Management, Llc and his current practice location is 6600 Van Aalst Blvd Bldg 9250, Fort Moore, Georgia. You can reach out to his office (for appointments etc.) via phone at (762) 408-0455.

Jeremy Keith Crouch is licensed to practice in Tennessee (license number 085227) 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 1538464086.

Contact Information

Jeremy Keith Crouch, CRNA
6600 Van Aalst Blvd Bldg 9250,
Fort Moore, GA 31905-2102
(762) 408-0455
(000) 000-0000

Map and Direction




Provider's Profile

Full NameJeremy Keith Crouch
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience14 Years
Location6600 Van Aalst Blvd Bldg 9250, Fort Moore, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jeremy Keith Crouch graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1538464086
  • Provider Enumeration Date: 01/13/2011
  • Last Update Date: 03/21/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9234307018
  • Enrollment ID: I20220427001501

Medical Identifiers

Medical identifiers for Jeremy Keith Crouch such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538464086NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 085227 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Phoebe Sumter Medical CenterAmericus, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sentry Anesthesia Management, Llc9436372323209

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. Jeremy Keith Crouch allows following entities to bill medicare on his behalf.
Entity NameAmsol Anesthetists Of Georgia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649224775
PECOS PAC ID: 5193780955
Enrollment ID: O20041122000580
Entity NameGrady Memorial Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114243813
PECOS PAC ID: 7517032998
Enrollment ID: O20100723000311
Entity NameSentry Anesthesia Management, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134544794
PECOS PAC ID: 9436372323
Enrollment ID: O20140521002571

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. Jeremy Keith Crouch 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 AddressPractice Location Address
Jeremy Keith Crouch, CRNA
5001 Wellington Way,
Midland, GA 31820-5409

Ph: (931) 260-1965		Jeremy Keith Crouch, CRNA
6600 Van Aalst Blvd Bldg 9250,
Fort Moore, GA 31905-2102

Ph: (762) 408-0455

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Fort Moore, GA

Eric Henderson,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 6600 Van Aalst Blvd, Fort Moore, GA 31905
Phone: 762-408-3107    
Dr. Graham James Gorsline, DNP CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 6600 Van Aalst Blvd Bldg 9250, Fort Moore, GA 31905
Phone: 762-408-3230    
Ryann Mae Murphy,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 6600 Van Aalst Blvd, Fort Moore, GA 31905
Phone: 516-330-3148    
Brandon Allen, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 6600 Van Aalst Blvd, Fort Moore, GA 31905
Phone: 762-408-2273    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.