Chris Jurgensmeyer, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jeffersonville, Indiana. His current practice location is
302 W 14th St, Jeffersonville, Indiana. You can reach out to his office (for appointments etc.) via phone at
(931) 216-6205.
Chris Jurgensmeyer is licensed to practice in Kentucky (license number 3005108) 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 1861544173.
Provider's Profile
| Full Name | Chris Jurgensmeyer |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 302 W 14th St, Jeffersonville, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1861544173
- Provider Enumeration Date: 01/17/2007
- Last Update Date: 08/20/2021
Medicare PECOS Information:
- PECOS PAC ID: 5698868321
- Enrollment ID: I20070911000379
Medical Identifiers
Medical identifiers for Chris Jurgensmeyer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1861544173 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367500000X | Nurse Anesthetist, Certified Registered | 006495 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 28214783A (Indiana) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 3005108 (Kentucky) | 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. Chris Jurgensmeyer allows following entities to bill medicare on his behalf.
| Entity Name | Providian Anesthesia Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821654666 PECOS PAC ID: 2264765791 Enrollment ID: O20190614000874 |
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| Entity Name | Anesthesia Dynamics Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20210104001507 |
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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. Chris Jurgensmeyer 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 |
Chris Jurgensmeyer, CRNA 310 Grand Oak Blvd, Shepherdsville, KY 40165-8685 Ph: (931) 216-6205 | Chris Jurgensmeyer, CRNA 302 W 14th St, Jeffersonville, IN 47130-3751 Ph: (931) 216-6205 |
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