Mr Justin Slade Bridwell, CRNA in Rogers, AR - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Justin Slade Bridwell, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Rogers, Arkansas. He graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Capital Anesthesia Solutions Of Arkansas, Llc, Pinnacle Anesthesia Group Pllc and his current practice location is 1200 W Walnut St, Rogers, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 636-0200.

Mr Justin Slade Bridwell is licensed to practice in Arkansas (license number CO1557) 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 1407814924.

Contact Information

	Mr Justin Slade Bridwell, CRNA
	1200 W Walnut St, Rogers, AR 72756-3546
	(479) 636-0200
	(479) 936-2912

Map and Direction

Provider's Profile

Full Name	Mr Justin Slade Bridwell
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	20 Years
Location	1200 W Walnut St, Rogers, Arkansas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Justin Slade Bridwell graduated from nursing school in 2004

NPI Data:

NPI Number: 1407814924
Provider Enumeration Date: 05/03/2006
Last Update Date: 12/06/2007

Medicare PECOS Information:

PECOS PAC ID: 6901843150
Enrollment ID: I20051229000760

Medical Identifiers

Medical identifiers for Mr Justin Slade Bridwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407814924	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	CO1557 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northwest Medical Center-springdale	Springdale, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Capital Anesthesia Solutions Of Arkansas, Llc	5395159313	68
Pinnacle Anesthesia Group Pllc	9537514385	3

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. Mr Justin Slade Bridwell allows following entities to bill medicare on his behalf.

Entity Name	Ozark Eye Center Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770624611 PECOS PAC ID: 8123915832 Enrollment ID: O20040227000962

Entity Name	Siloam Springs Clinic Company Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013155431 PECOS PAC ID: 9032275318 Enrollment ID: O20090312000025

Entity Name	Fayetteville Arkansas Hospital Company Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902267875 PECOS PAC ID: 1052619814 Enrollment ID: O20160601000627

Entity Name	Capital Anesthesia Solutions Of Arkansas, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174125876 PECOS PAC ID: 5395159313 Enrollment ID: O20210202001530

Entity Name	Pinnacle Anesthesia Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487358941 PECOS PAC ID: 9537514385 Enrollment ID: O20231013001074

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. Mr Justin Slade Bridwell 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
Mr Justin Slade Bridwell, CRNA Po Box 507, Lowell, AR 72745-0507 Ph: (816) 461-8288	Mr Justin Slade Bridwell, CRNA 1200 W Walnut St, Rogers, AR 72756-3546 Ph: (479) 636-0200

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Rogers, AR

Steven Derek Ceola, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2710 Rife Medical Ln, Rogers, AR 72758 Phone: 913-381-5200 Fax: 913-381-0979
Matthew W Shelby, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2710 Rife Medical Ln, Anesthesia Dept, Rogers, AR 72758 Phone: 913-642-4900 Fax: 913-381-0979
Chad Silvey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2710 S Rife Medical Ln, Rogers, AR 72758 Phone: 479-338-8000 Fax: 479-338-3056
Sean P Mccarthy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 W Walnut St, Rogers, AR 72756 Phone: 479-636-0200 Fax: 479-936-2912
Ms. Allison Elizabeth Lee Mckay, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2710 Rife Medical Ln, Rogers, AR 72758 Phone: 913-642-4900 Fax: 913-381-0979
Monte Clayton Moore, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2710 Rife Medical Ln, Rogers, AR 72758 Phone: 913-381-5200 Fax: 913-381-0979
Matthew David Hicks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 W Walnut St, Rogers, AR 72756 Phone: 479-636-0200 Fax: 479-936-2912

Mr Justin Slade Bridwell, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Rogers, AR