Jonathan Entwisle, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Palo Alto, California. He graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Stanford Health Care and his current practice location is
2452 Watson Ct, Palo Alto, California. You can reach out to his office (for appointments etc.) via phone at
(650) 723-6995.
Jonathan Entwisle is licensed to practice in California (license number CRNA95000308) 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 1972934719.
Provider's Profile
| Full Name | Jonathan Entwisle |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 11 Years |
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| Location | 2452 Watson Ct, Palo Alto, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jonathan Entwisle graduated from nursing school in 2013
NPI Data:
- NPI Number: 1972934719
- Provider Enumeration Date: 12/04/2013
- Last Update Date: 09/14/2015
Medicare PECOS Information:
- PECOS PAC ID: 6507095098
- Enrollment ID: I20150929002893
Medical Identifiers
Medical identifiers for Jonathan Entwisle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1972934719 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 1-107906 (Alabama) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | CRNA95000308 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Stanford Health Care | 6709797491 | 2572 |
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. Jonathan Entwisle allows following entities to bill medicare on his behalf.
| Entity Name | Stanford Health Care |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437292927
PECOS PAC ID: 6709797491
Enrollment ID: O20031124000348 |
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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. Jonathan Entwisle 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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Jonathan Entwisle,
2452 Watson Ct,
Palo Alto, CA 94303-3216
Ph: (650) 723-6995 | Jonathan Entwisle,
2452 Watson Ct,
Palo Alto, CA 94303-3216
Ph: (650) 723-6995 |
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