Juanita Derouen, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Gulfport, MS

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Juanita Derouen, CRNA is a medicare enrolled "Anesthesiology" physician in Gulfport, Mississippi. She graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Etas Pllc and her current practice location is 4500 13th St, Gulfport, Mississippi. You can reach out to her office (for appointments etc.) via phone at (228) 818-0563.

Juanita Derouen is licensed to practice in Mississippi (license number R848958) 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 1124107388.

Contact Information

Juanita Derouen, CRNA
4500 13th St,
Gulfport, MS 39501-2515
(228) 818-0563
(228) 818-0519

Map and Direction




Physician's Profile

Full NameJuanita Derouen
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience19 Years
Location4500 13th St, Gulfport, Mississippi
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:
  • Juanita Derouen graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1124107388
  • Provider Enumeration Date: 11/06/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7618070848
  • Enrollment ID: I20070308000537

Medical Identifiers

Medical identifiers for Juanita Derouen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124107388NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology R848958 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Hospital At GulfportGulfport, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Etas Pllc812348193441

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. Juanita Derouen allows following entities to bill medicare on her behalf.
Entity NameJackson County Anesthesia
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922159219
PECOS PAC ID: 9931292729
Enrollment ID: O20070913000898
Entity NameMemorial Hospital At Gulfport
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215546635
PECOS PAC ID: 2466524012
Enrollment ID: O20090515000396
Entity NameBest Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679286108
PECOS PAC ID: 9436521168
Enrollment ID: O20230207000883
Entity NameEtas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679259360
PECOS PAC ID: 8123481934
Enrollment ID: O20230828000521

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. Juanita Derouen 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
Juanita Derouen, CRNA
22 Doctors Dr, Suite C,
Ocean Springs, MS 39564

Ph: (228) 818-0563		Juanita Derouen, CRNA
4500 13th St,
Gulfport, MS 39501-2515

Ph: (228) 818-0563

Reviews and Comments


Anesthesiology Doctors in Gulfport, MS

Stanley Turner, CRNA
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 4500 13th St, Gulfport, MS 39501
Phone: 228-818-0563    Fax: 228-818-0519
Davis Hutto, CRNA
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 4500 13th St, Gulfport, MS 39501
Phone: 228-818-0563    Fax: 228-818-0519
Mr. Marc L Simpkins, CRNA
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 4500 13th St, Gulfport, MS 39501
Phone: 228-818-0563    Fax: 228-818-0519
Dr. John C Briggs, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 4500 13th St, Gulfport, MS 39501
Phone: 228-867-4000    
Ronald P. Bernadas, M.D.
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 15190 Community Rd Ste 230a, Gulfport, MS 39503
Phone: 228-831-0204    Fax: 228-831-1868
Fred Williams, CRNA
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 4500 13th St, Gulfport, MS 39501
Phone: 228-818-0563    Fax: 228-818-0519

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.