David Stephen Prudhome, CRNA in Tyler, TX - Medicare Certified Registered Nurse Anesthetist (crna)

David Stephen Prudhome, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tyler, Texas. He graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Christus Health Northern Louisiana and his current practice location is 1000 S Beckham Ave, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 597-0351.

David Stephen Prudhome is licensed to practice in Texas (license number 733431) 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 1437494879.

Contact Information

	David Stephen Prudhome, CRNA
	1000 S Beckham Ave, Tyler, TX 75701-1908
	(903) 597-0351
	Not Available

Map and Direction

Provider's Profile

Full Name	David Stephen Prudhome
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	12 Years
Location	1000 S Beckham Ave, Tyler, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

David Stephen Prudhome graduated from nursing school in 2012

NPI Data:

NPI Number: 1437494879
Provider Enumeration Date: 12/11/2012
Last Update Date: 06/15/2015

Medicare PECOS Information:

PECOS PAC ID: 8820235179
Enrollment ID: I20140718001504

Medical Identifiers

Medical identifiers for David Stephen Prudhome such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437494879	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	733431 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Christus Health Shreveport - Bossier	Shreveport, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Christus Health Northern Louisiana	8628980554	21

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. David Stephen Prudhome allows following entities to bill medicare on his behalf.

Entity Name	Willis Knighton Medical Center Inc Crna Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174546097 PECOS PAC ID: 1759358674 Enrollment ID: O20040910001124

Entity Name	Medical Center Anesthesiologists
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669469748 PECOS PAC ID: 6608814843 Enrollment ID: O20050419001114

Entity Name	Christus Health Northern Louisiana
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801822762 PECOS PAC ID: 8628980554 Enrollment ID: O20060111000997

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. David Stephen Prudhome 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
David Stephen Prudhome, CRNA 1000 S Beckham Ave, Tyler, TX 75701-1908 Ph: (903) 597-0351	David Stephen Prudhome, CRNA 1000 S Beckham Ave, Tyler, TX 75701-1908 Ph: (903) 597-0351

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Tyler, TX

Mrs. Glenda R Sealey, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1424 East Front, Tyler, TX 75702 Phone: 903-595-4144 Fax: 903-596-7541
John Glynn Jeansonne, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 S Beckham Ave, Tyler, TX 75701 Phone: 903-526-1068 Fax: 903-593-4290
Jeffrey Manglicmot, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-531-4522
Harold Richie Bandalan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 S Beckham Ave, Tyler, TX 75701 Phone: 903-526-1068 Fax: 903-593-4290
Jeffrey David Barker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 S Beckham Ave, Tyler, TX 75701 Phone: 903-597-0351
Gregory Mallett, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-606-4522
Cara L Dewolfe, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-593-8441

David Stephen Prudhome, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Tyler, TX