Joshua Van Pettit, CRNA in Jonesboro, AR - Medicare Nurse Anesthetist, Certified Registered

Joshua Van Pettit, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jonesboro, Arkansas. His current practice location is 3024 Stadium Blvd, Jonesboro, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 227-0700.

Joshua Van Pettit is licensed to practice in Arkansas (license number R69821) 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 1679891527.

Contact Information

	Joshua Van Pettit, CRNA
	3024 Stadium Blvd, Jonesboro, AR 72401-7415
	(501) 227-0700
	(501) 227-0744

Map and Direction

Provider's Profile

Full Name	Joshua Van Pettit
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	3024 Stadium Blvd, Jonesboro, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679891527
Provider Enumeration Date: 05/16/2010
Last Update Date: 05/16/2010

Medicare PECOS Information:

PECOS PAC ID: 4981735933
Enrollment ID: I20100708000476

Medical Identifiers

Medical identifiers for Joshua Van Pettit such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679891527	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	R69821 (Arkansas)	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. Joshua Van Pettit allows following entities to bill medicare on his behalf.

Entity Name	Jonesboro Surgery Center Anesthesia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558641548 PECOS PAC ID: 0446532766 Enrollment ID: O20170419002188

Entity Name	Lifelinc Anesthesia V, P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063907244 PECOS PAC ID: 8921359712 Enrollment ID: O20180918001267

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. Joshua Van Pettit 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
Joshua Van Pettit, CRNA 2024 Arkansas Valley Dr, Suite 202, Little Rock, AR 72212-4166 Ph: (501) 227-0700	Joshua Van Pettit, CRNA 3024 Stadium Blvd, Jonesboro, AR 72401-7415 Ph: (501) 227-0700

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Jonesboro, AR

Melissa Anne Cogdell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 505 E Matthews Ave Ste 303, Jonesboro, AR 72401 Phone: 870-932-4211
Lauren Martin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3024 Stadium Blvd, Jonesboro, AR 72401 Phone: 501-227-0700 Fax: 501-227-0744
James M Glisson, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 601 E Matthews Ave, Jonesboro, AR 72401 Phone: 870-935-6396 Fax: 870-935-4063
Mrs. Megan Renee Harrell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 225 E Washington Ave, Jonesboro, AR 72401 Phone: 870-207-4100
Mr. Terry Mitchel Hughes Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 909 Enterprise Dr, Jonesboro, AR 72401 Phone: 870-336-1100 Fax: 870-336-1134
Paul S Blumreich, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3024 Stadium Blvd, Jonesboro, AR 72401 Phone: 501-227-0700 Fax: 501-227-0744
Edmund Carmack, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401 Phone: 870-932-4211 Fax: 870-931-9141

Joshua Van Pettit, CRNA - Medicare Nurse Anesthetist, Certified Registered in Jonesboro, AR