Dr Nahada Djuan Gudger Ii, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Jackson, Tennessee. He graduated from medical 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 Southeast Missouri Hospital Physicians Llc and his current practice location is
620 Skyline Dr, Jackson, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(731) 225-8132.
Dr Nahada Djuan Gudger Ii is licensed to practice in Tennessee (license number 124345) 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 1811544281.
Physician's Profile
| Full Name | Dr Nahada Djuan Gudger Ii |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 5 Years |
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| Location | 620 Skyline Dr, Jackson, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Nahada Djuan Gudger Ii graduated from medical school in 2019
NPI Data:
- NPI Number: 1811544281
- Provider Enumeration Date: 08/21/2019
- Last Update Date: 08/26/2019
Medicare PECOS Information:
- PECOS PAC ID: 9032542477
- Enrollment ID: I20221028000813
Medical Identifiers
Medical identifiers for Dr Nahada Djuan Gudger Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811544281 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207LC0200X | Anesthesiology - Critical Care Medicine | 124345 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 124345 (Tennessee) | Primary |
Medical Facilities Affiliation
| Facility Name | Location | Facility Type |
|---|
| Southeasthealth | Cape girardeau, MO | Hospital |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southeast Missouri Hospital Physicians Llc | 9133024334 | 186 |
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. Dr Nahada Djuan Gudger Ii allows following entities to bill medicare on his behalf.
| Entity Name | Southeast Missouri Hospital Physicians Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558311522
PECOS PAC ID: 9133024334
Enrollment ID: O20031201000775 |
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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. Dr Nahada Djuan Gudger Ii 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 |
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Dr Nahada Djuan Gudger Ii, CRNA
20 Butternut Cv,
Jackson, TN 38305-9518
Ph: (731) 394-7059 | Dr Nahada Djuan Gudger Ii, CRNA
620 Skyline Dr,
Jackson, TN 38301-3923
Ph: (731) 225-8132 |
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