Nathan John Wilson Heacock, CRNA in Stockton, CA - Medicare Certified Registered Nurse Anesthetist (crna)

Nathan John Wilson Heacock, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Stockton, California. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Anesthesia Services Of San Joaquin Pc, Permanente Medical Group Inc and his current practice location is 1800 N California St, Stockton, California. You can reach out to his office (for appointments etc.) via phone at (209) 943-2000.

Nathan John Wilson Heacock is licensed to practice in California (license number 95001167) 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 1881155836.

Contact Information

	Nathan John Wilson Heacock, CRNA
	1800 N California St, Stockton, CA 95204-6019
	(209) 943-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Nathan John Wilson Heacock
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	5 Years
Location	1800 N California St, Stockton, California
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:

Nathan John Wilson Heacock graduated from nursing school in 2019

NPI Data:

NPI Number: 1881155836
Provider Enumeration Date: 03/30/2019
Last Update Date: 08/13/2019

Medicare PECOS Information:

PECOS PAC ID: 4183954761
Enrollment ID: I20190924003302

Medical Identifiers

Medical identifiers for Nathan John Wilson Heacock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881155836	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN95178472 (California)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	95001167 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Anesthesia Services Of San Joaquin Pc	4082754056	72
Permanente Medical Group Inc	8921910225	7800

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. Nathan John Wilson Heacock allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

Entity Name	Anesthesia Services Of San Joaquin Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366778227 PECOS PAC ID: 4082754056 Enrollment ID: O20091223000174

Entity Name	Palm Springs Anesthesia Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083928501 PECOS PAC ID: 6406049592 Enrollment ID: O20101021000600

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. Nathan John Wilson Heacock 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
Nathan John Wilson Heacock, CRNA 9687 Marquis Ct, Elk Grove, CA 95758-4674 Ph: (530) 957-6828	Nathan John Wilson Heacock, CRNA 1800 N California St, Stockton, CA 95204-6019 Ph: (209) 943-2000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Stockton, CA

Grant David Kephart, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: St. Joseph's Medical Center, 1800 N. California St., Stockton, CA 95204 Phone: 209-943-2000
Dr. Dorothy Wanjeru Mbondo, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-662-4749
Khang Do, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-416-6316
Marjorie M Danis, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1805 N California St, Suite 101a, Stockton, CA 95204 Phone: 209-948-5515 Fax: 209-948-9321
Charles Melvin Banks Iii, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-943-2000
Navjot Sanghera, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-943-2000
Carla S Rosenblum, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-467-6556

Nathan John Wilson Heacock, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Stockton, CA