Annblythe Sheridan, CRNA in Fort Wayne, IN - Medicare Nurse Anesthetist, Certified Registered

Annblythe Sheridan, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Wayne, Indiana. Her current practice location is 7950 W Jefferson Blvd, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 436-7875.

Annblythe Sheridan is licensed to practice in Indiana (license number 28292954A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1881417046.

Contact Information

	Annblythe Sheridan, CRNA
	7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140
	(260) 436-7875
	(260) 432-9812

Map and Direction

Provider's Profile

Full Name	Annblythe Sheridan
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	7950 W Jefferson Blvd, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881417046
Provider Enumeration Date: 11/06/2024
Last Update Date: 01/27/2025

Medicare PECOS Information:

PECOS PAC ID: 2961931282
Enrollment ID: I20250130002745

Medical Identifiers

Medical identifiers for Annblythe Sheridan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881417046	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	28292954A (Indiana)	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. Annblythe Sheridan allows following entities to bill medicare on her behalf.

Entity Name	Associated Anesthesiologists Of Fort Wayne Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538159140 PECOS PAC ID: 2264412444 Enrollment ID: O20040720001562

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. Annblythe Sheridan 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
Annblythe Sheridan, CRNA Po Box 843603, Dallas, TX 75284-3603 Ph: (972) 233-1999	Annblythe Sheridan, CRNA 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 Ph: (260) 436-7875

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fort Wayne, IN

Anthony Dzigbordi, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5050 N Clinton St, Fort Wayne, IN 46825 Phone: 260-484-8551
Lisa A Tompa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5050 N Clinton St, Fort Wayne, IN 46825 Phone: 260-484-8551 Fax: 260-482-5060
Nicole Borem Schickel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5734 Coventry Ln, Fort Wayne, IN 46804 Phone: 260-436-7875
Blair John Walker, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-416-3000
Madeline Sikes Brooks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825 Phone: 260-436-7875 Fax: 260-432-9812
Dr. Jennifer Hager, DNP, MBA, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825 Phone: 260-436-7875 Fax: 260-432-9812
Lisa Osborne, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5734 Coventry Ln, Fort Wayne, IN 46804 Phone: 260-436-7875

Annblythe Sheridan, CRNA - Medicare Nurse Anesthetist, Certified Registered in Fort Wayne, IN