Ms Amanda Sue John, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Newark, OH

Ms Amanda Sue John, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Newark, Ohio. She went to Georgetown University School Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Licking Memorial Professional Corporation and her current practice location is 1320 W Main St, Newark, Ohio. You can reach out to her office (for appointments etc.) via phone at (220) 564-4226.

Ms Amanda Sue John is licensed to practice in Ohio (license number COA-12359-NA) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164409124.

Contact Information

Ms Amanda Sue John, CRNA
1320 W Main St,
Newark, OH 43055-1822
(220) 564-4226
(220) 564-4217

Map and Direction




Provider's Profile

Full NameMs Amanda Sue John
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience23 Years
Location1320 W Main St, Newark, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Amanda Sue John attended and graduated from Georgetown University School Of Medicine in 2001
  NPI Data:
  • NPI Number: 1164409124
  • Provider Enumeration Date: 12/29/2005
  • Last Update Date: 12/09/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4789856972
  • Enrollment ID: I20111012000468

Medical Identifiers

Medical identifiers for Ms Amanda Sue John such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164409124NPI-NPPES
0053321MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered COA-12359-NA (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Licking Memorial HospitalNewark, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Licking Memorial Professional Corporation6204740731200

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. Ms Amanda Sue John allows following entities to bill medicare on her behalf.
Entity NameLicking Memorial Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326072265
PECOS PAC ID: 6204740731
Enrollment ID: O20031203000131

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. Ms Amanda Sue John 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
Ms Amanda Sue John, CRNA
1320 W Main St,
Newark, OH 43055-1822

Ph: (220) 564-4226
Ms Amanda Sue John, CRNA
1320 W Main St,
Newark, OH 43055-1822

Ph: (220) 564-4226

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Newark, OH

Kathy Williams, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1320 West Main St, Newark, OH 43055
Phone: 220-564-4226    Fax: 220-564-4217
Deforest Roche Brown, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1320 West Main Street, Newark, OH 43055
Phone: 740-348-4226    Fax: 740-348-4217
Connie Greene, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2000 Tamarack Rd, Newark, OH 43055
Phone: 614-235-2326    Fax: 614-235-5194
S Anne Miller-cohen, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2000 Tamarack Rd, Newark, OH 43055
Phone: 614-235-2326    Fax: 614-235-5194
Mark E. Plaugher, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1320 W Main St, Newark, OH 43055
Phone: 220-564-4226    Fax: 220-564-4219
Tina Harmon, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1320 W Main St, Newark, OH 43055
Phone: 740-348-4027    Fax: 740-348-4027

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.