Russell T Beavers, CRNA in Little Rock, AR - Medicare Nurse Anesthetist, Certified Registered

Russell T Beavers, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Little Rock, Arkansas. His current practice location is 24 Glasgow Ct, Little Rock, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 489-1592.

Russell T Beavers is licensed to practice in Arkansas (license number C00338) 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 1700881778.

Contact Information

	Russell T Beavers, CRNA
	24 Glasgow Ct, Little Rock, AR 72211-2170
	(870) 489-1592
	Not Available

Map and Direction

Provider's Profile

Full Name	Russell T Beavers
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	24 Glasgow Ct, Little Rock, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700881778
Provider Enumeration Date: 06/16/2005
Last Update Date: 04/29/2016

Medicare PECOS Information:

PECOS PAC ID: 1254408115
Enrollment ID: I20080918000748

Medical Identifiers

Medical identifiers for Russell T Beavers such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700881778	NPI	-	NPPES
59622	Other	AR	BCBS
430014101	Other		RRMCR/PGBA
125085701	Medicaid	AR
AR6003788	Other		TRICARE/HUMANA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	C00338 (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. Russell T Beavers allows following entities to bill medicare on his behalf.

Entity Name	Physicians Day Surgery Center
Entity Type	Part B Supplier - Ambulatory Surgical Center
Entity Identifiers	NPI Number: 1588603351 PECOS PAC ID: 0143129254 Enrollment ID: O20040107000965

Entity Name	Physicians Day Surgery Center
Entity Type	Part B Supplier - Ambulatory Surgical Center
Entity Identifiers	NPI Number: 1023057916 PECOS PAC ID: 0143129254 Enrollment ID: O20080929000775

Entity Name	Premier Anesthesia Of Arkansas Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932519485 PECOS PAC ID: 6406077460 Enrollment ID: O20141016002060

Entity Name	Jefferson Regional Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205301587 PECOS PAC ID: 6204171846 Enrollment ID: O20181231000163

Entity Name	Battle Street Surgery Center, Llc
Entity Type	Part B Supplier - Ambulatory Surgical Center
Entity Identifiers	NPI Number: 1457077174 PECOS PAC ID: 2860862349 Enrollment ID: O20221227000914

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. Russell T Beavers 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
Russell T Beavers, CRNA 24 Glasgow Ct, Little Rock, AR 72211-2170 Ph: (870) 489-1592	Russell T Beavers, CRNA 24 Glasgow Ct, Little Rock, AR 72211-2170 Ph: (870) 489-1592

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Little Rock, AR

Benjamin Mizell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9601 Baptist Health Dr, Little Rock, AR 72205 Phone: 501-202-2093 Fax: 501-202-6316
Dr. Ethan Taylor Lewis, DNP Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 12921 Cantrell Rd, Little Rock, AR 72223 Phone: 501-615-8296
Kasia Pabian, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2018 N Garfield St, Little Rock, AR 72207 Phone: 501-614-9998 Fax: 501-325-1491
John W Woodell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4200 N Rodney Parham Rd, No 203, Little Rock, AR 72212 Phone: 615-620-2320 Fax: 615-620-2323
Barbara C Lenarduzzi, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 11401 Interstate 30, Little Rock, AR 72209 Phone: 501-455-7100
Brent Anthony Lea, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 515, Little Rock, AR 72205 Phone: 501-686-6114 Fax: 501-686-8139
Anthony L Bridges, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9601 Baptist Health Dr, Little Rock, AR 72205 Phone: 501-202-2093 Fax: 501-202-6316

Russell T Beavers, CRNA - Medicare Nurse Anesthetist, Certified Registered in Little Rock, AR