Brian Wayne Church, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Jacksonville, FL

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Brian Wayne Church, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jacksonville, Florida. He graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Dayton Anesthesia And Pain Services Llc, Sunshine State Anesthesia Partners Llc and his current practice location is 4035 Southpoint Blvd, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 507-6077.

Brian Wayne Church is licensed to practice in Florida (license number APRN11041227) 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 1134482029.

Contact Information

Brian Wayne Church, CRNA
4035 Southpoint Blvd,
Jacksonville, FL 32216-0949
(904) 507-6077
Not Available

Map and Direction




Provider's Profile

Full NameBrian Wayne Church
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience14 Years
Location4035 Southpoint Blvd, Jacksonville, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Brian Wayne Church graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1134482029
  • Provider Enumeration Date: 06/17/2012
  • Last Update Date: 04/15/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 4880846500
  • Enrollment ID: I20121204000180

Medical Identifiers

Medical identifiers for Brian Wayne Church such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134482029NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN.320250-COA1 (Ohio)Secondary
367500000XNurse Anesthetist, Certified Registered COA.13948-NA (Ohio)Secondary
367500000XNurse Anesthetist, Certified Registered APRN11041227 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Hospital JacksonvilleJacksonville, FLHospital
Soin Medical CenterBeaver creek, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dayton Anesthesia And Pain Services Llc8022245372233
Sunshine State Anesthesia Partners Llc8123434792437

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. Brian Wayne Church allows following entities to bill medicare on his behalf.
Entity NameAnesthesia Group Practice Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417951948
PECOS PAC ID: 1254245137
Enrollment ID: O20031114000492
Entity NameLima Memorial Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457474900
PECOS PAC ID: 1254232184
Enrollment ID: O20040115000131
Entity NameDayton Osteopathic Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588630347
PECOS PAC ID: 7618878877
Enrollment ID: O20040120000374
Entity NameFirelands Anesthesia Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811906340
PECOS PAC ID: 9032143334
Enrollment ID: O20050926001020
Entity NameDayton Anesthesia & Pain Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629401898
PECOS PAC ID: 8022245372
Enrollment ID: O20131212001655
Entity NamePremier Anesthesia Of Ohio Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699196022
PECOS PAC ID: 3779714258
Enrollment ID: O20140326001267
Entity NameR&p Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184190001
PECOS PAC ID: 7315282332
Enrollment ID: O20181219003495
Entity NamePeak Anesthesia Management Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427856236
PECOS PAC ID: 3476079591
Enrollment ID: O20250501000273

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. Brian Wayne Church 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
Brian Wayne Church, CRNA
6489 Shadewater Dr,
Hilliard, OH 43026-6248

Ph: (614) 668-2771		Brian Wayne Church, CRNA
4035 Southpoint Blvd,
Jacksonville, FL 32216-0949

Ph: (904) 507-6077

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Jacksonville, FL

Crystal Lynn, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Lauren E Freed, CRNA
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Medicare: Accepting Medicare Assignments
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Dr. Sarah Anne Piscitello, CRNA
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Medicare: May Accept Medicare Assignments
Practice Location: 1 Shircliff Way, Jacksonville, FL 32204
Phone: 904-477-5855    
Lindsay Michelle Putkowski, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3625 University Blvd S, Jacksonville, FL 32216
Phone: 904-702-6111    
Michelle Alicia Coy, DNP
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2080 Child St Dept 5000, Jacksonville, FL 32214
Phone: 904-542-7300    
Kristina Schneider, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Mr. Bruce Anthony Wilburn, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2165 Herschel St, Jacksonville, FL 32204
Phone: 904-387-1220    

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.